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Wayne R Heaton, APRN
Psychiatric/Mental Health Nurse Practitioner in Provo, Utah
NPI 1083623862

Wayne R Heaton is a Psychiatric/Mental Health Nurse Practitioner based in Salt Lake City, UT and is specialized in Psychiatric/Mental Health. Wayne R Heaton practices in Provo, UT and has the professional credentials of APRN. The NPI Number for Wayne R Heaton is 1083623862 and holds a License No. 2168864405 (Utah).

The current practice location address for Wayne R Heaton is 1034 N 500 W, Provo, UT and can be reached out via phone at 801-357-7380.

Location: 1034 N 500 W, Provo, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083623862
Provider Name
Wayne R Heaton
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1034 N 500 W, Provo, UT, 84127-0128
Phone Number
801-357-7380
Fax Number
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1034 N 500 W
City
Provo
State
Utah
Zip
84604-3380
Phone Number
801-357-7380
Fax Number
person
Provider Business Mailing Address Details
Address
1034 N 500 W
City
Provo
State
Utah
Zip
84604-3380
Phone Number
801-357-7380
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2168864405 (Utah)
Definition
Definition to come...
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