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Heather Killam, NP
Family Nurse Practitioner in Surprise, Arizona
NPI 1114914967

Heather Killam is a Family Nurse Practitioner based in Surprise, AZ and is specialized in Family. Heather Killam practices in Surprise, AZ and has the professional credentials of NP. The NPI Number for Heather Killam is 1114914967 and holds a License No. RN115515 (Arizona).

The current practice location address for Heather Killam is 12361 W Bola Dr Ste 109, Surprise, AZ and can be reached out via phone at 623-227-1000 and via fax at 623-227-2000.

Location: 12361 W Bola Dr Ste 109, Surprise, AZ, 85378-9021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114914967
Provider Name
Heather Killam
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12361 W Bola Dr Ste 109, Surprise, AZ, 85378-9021
Phone Number
623-227-1000
Fax Number
623-227-2000
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
907157 05 AZ
institution
Provider Business Practice Location Address Details
Address
12361 W Bola Dr Ste 109
City
Surprise
State
Arizona
Zip
85378-9021
Phone Number
623-227-1000
Fax Number
623-227-2000
person
Provider Business Mailing Address Details
Address
12361 W Bola Dr Ste 109
City
Surprise
State
Arizona
Zip
85378-9021
Phone Number
623-227-1000
Fax Number
623-227-2000
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN115515 (Arizona)
Definition
Definition to come...
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