Provider Demographics
NPI:1215251707
Name:RIFFE, HEATHER LEE (LPN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:RIFFE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1684 SUGAR RUN RD
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9064
Mailing Address - Country:US
Mailing Address - Phone:740-222-9331
Mailing Address - Fax:
Practice Address - Street 1:1684 SUGAR RUN RD
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9064
Practice Address - Country:US
Practice Address - Phone:740-222-9331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 127126164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse