National Provider Identifier

Heather Dirk Stevenson, RN

Heather Dirk Stevenson, RN is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Ontario, NY and a listed phone number of (585) 355-5399.

NPI 1356698286Ontario, NYPediatric Registered Nurse

Profile Overview

NPI
1356698286
Provider Type
Individual
Primary Specialty
Pediatric Registered Nurse
Enumeration Date
August 09, 2012
Last Updated
August 09, 2012

Practice Location

  • 2630 Ridge RD
  • Ontario, NY 14519-9560

Phone: (585) 355-5399

Specialties

  • Pediatric Registered Nurse (163WP0200X)
Full Record
NPI
1356698286
Entity Type
Individual
Last Name
Stevenson
First Name
Heather
Middle Name
Dirk
Name Prefix
Mrs.
Credential
RN
Provider Other Last Name
Dirk
Provider Other First Name
Heather
Provider Other Middle Name
Dawn
Provider Other Last Name Type Code
1
Mailing Street Address
2630 Ridge RD
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-9560
Mailing Country
US
Mailing Phone
(585) 355-5399
Practice Street Address
2630 Ridge RD
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-9560
Practice Country
US
Practice Phone
(585) 355-5399
Enumeration Date
August 09, 2012
Last Updated
August 09, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Registered Nurse (163WP0200X)