THEA HEATON, PA-C

Physician Assistant

Active Individual
NPI: 1811998628

Practice Address

318 2ND ST S
Nampa, ID 83651

Phone: (208) 467-3006

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA474 (ID)

Frequently Asked Questions

NPI 1811998628 is the National Provider Identifier for THEA HEATON, PA-C, a Physician Assistant provider located in Nampa, ID. This NPI was enumerated on August 2, 2005.
THEA HEATON, PA-C practices at 318 2ND ST S, Nampa, ID 83651.

Quick Facts

NPI
1811998628
Type
Individual
Enumerated
Aug 2, 2005
Last Updated
Feb 9, 2016

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