Search › Idaho › 363A00000X
Thea Heaton, PA-C
NPI 1811998628 · on the registry since 2005
Practice
- Address
- 318 2nd St S
Nampa, ID 83651 - Phone
- (208) 467-3006
- Fax
- (208) 467-1155
- Organisation at this address
- Dermatology Center Of Canyon County
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-09
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 Idaho