National Provider Identifier

Heather Ann Widman, LPN

Heather Ann Widman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 393-0891.

NPI 1023332202Canandaigua, NYLicensed Practical Nurse

Profile Overview

NPI
1023332202
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 17, 2010
Last Updated
March 17, 2010

Practice Location

  • 98 Beals St
  • Canandaigua, NY 14424-2002

Phone: (585) 393-0891

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023332202
Entity Type
Individual
Last Name
Widman
First Name
Heather
Middle Name
Ann
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
98 Beals St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-2002
Mailing Country
US
Mailing Phone
(585) 393-0891
Practice Street Address
98 Beals St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-2002
Practice Country
US
Practice Phone
(585) 393-0891
Enumeration Date
March 17, 2010
Last Updated
March 17, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)