National Provider Identifier

Erla Petronette Heyns

Erla Petronette Heyns is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 273-7494.

NPI 1043568553Ithaca, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1043568553
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
August 15, 2012
Last Updated
August 15, 2012

Practice Location

  • 127 W State St
  • Ithaca, NY 14850-5474

Phone: (607) 273-7494

Mailing Address

  • 3 Beechnut Ter
  • Ithaca, NY 14850-9611

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1043568553
Entity Type
Individual
Last Name
Heyns
First Name
Erla
Middle Name
Petronette
Mailing Street Address
3 Beechnut Ter
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9611
Mailing Country
US
Mailing Phone
(607) 277-2402
Practice Street Address
127 W State St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5474
Practice Country
US
Practice Phone
(607) 273-7494
Enumeration Date
August 15, 2012
Last Updated
August 15, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)