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Stephanie Heavner

NPI 1043528649 · on the registry since 2010

Practice

Address
1060 Gaffney Rd
Fort Wainwright, AK 99703
Phone
(907) 361-5692
Clinicians at this address
25

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska