Provider Demographics
NPI:1427814797
Name:HOELYFIELD, HEATHER (CMA (AAMA))
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:HOELYFIELD
Suffix:
Gender:F
Credentials:CMA (AAMA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56651 VIA MIRAFIORE
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-9775
Mailing Address - Country:US
Mailing Address - Phone:574-612-2914
Mailing Address - Fax:
Practice Address - Street 1:1234 JOHNSON ST STE F
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-3300
Practice Address - Country:US
Practice Address - Phone:574-213-2107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other