Provider Demographics
NPI:1992751101
Name:HEANEY, RACHEL LYNN (RN, APN, C)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LYNN
Last Name:HEANEY
Suffix:
Gender:F
Credentials:RN, APN, C
Other - Prefix:
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Mailing Address - Street 1:16 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1404
Mailing Address - Country:US
Mailing Address - Phone:201-996-5437
Mailing Address - Fax:201-457-1885
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:TOMORROWS CHILDRENS INSTITUTE
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:201-996-5437
Practice Address - Fax:201-457-1885
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJNN098465363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics