Provider Demographics
NPI:1427120443
Name:HEFFNER, MARTA L (APN)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:L
Last Name:HEFFNER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N ARLINGTON AVE STE 460
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4451
Mailing Address - Country:US
Mailing Address - Phone:775-770-7404
Mailing Address - Fax:775-770-7474
Practice Address - Street 1:645 N ARLINGTON AVE STE 460
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4451
Practice Address - Country:US
Practice Address - Phone:775-770-7404
Practice Address - Fax:775-770-7474
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000681363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECS00078OtherNV STATE PHARMACY
NVAPN000681OtherAPN LIC
NVRN39288OtherRN LIC
NVRN39288OtherRN LIC
NVS98170Medicare UPIN