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Heidi E Wimberly, PA-C
Medical Physician Assistant in Shreveport, Louisiana
NPI 1083797245

Heidi E Wimberly is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. Heidi E Wimberly practices in Shreveport, LA and has the professional credentials of PA-C. The NPI Number for Heidi E Wimberly is 1083797245 and holds a License No. PA200094RX (Louisiana).

The current practice location address for Heidi E Wimberly is 2600 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-212-4639 and via fax at 318-212-8305.

Location: 2600 Kings Hwy, Shreveport, LA, 71103-3950
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Provider Profile Details
NPI Number
1083797245
Provider Name
Heidi E Wimberly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2600 Kings Hwy, Shreveport, LA, 71103-3950
Phone Number
318-212-4639
Fax Number
318-212-8305
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1706566 05 LA
institution
Provider Business Practice Location Address Details
Address
2600 Kings Hwy
City
State
Zip
71103-3950
Phone Number
318-212-4639
Fax Number
318-212-8305
person
Provider Business Mailing Address Details
Address
2600 Kings Hwy
City
State
Zip
71103-3950
Phone Number
318-212-4639
Fax Number
318-212-8305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA200094RX (Louisiana)
Definition
Definition to come...
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