Provider Demographics
NPI:1831707611
Name:HEFER, CARLIEN (NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:CARLIEN
Middle Name:
Last Name:HEFER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3637 MEDINA RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9654
Mailing Address - Country:US
Mailing Address - Phone:216-527-7274
Mailing Address - Fax:
Practice Address - Street 1:3637 MEDINA RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9654
Practice Address - Country:US
Practice Address - Phone:216-527-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator