Active NPIIndividual providerSole proprietor

Kathleen Heffernan, APN

Nurse Practitioner, Psych/Mental Health in Bourne, Massachusetts

NPI Number1548870710
Practice location
258 Main St Ste B1, Bourne, MA 02532-3251
Fax
—
Last updated
July 14, 2022

Kathleen Heffernan is a Nurse Practitioner, Psych/Mental Health based in Bourne, MA. Kathleen Heffernan practices in Bourne, MA and has the professional credentials of APN. The NPI Number for Kathleen Heffernan is 1548870710 and holds a License No. RN143164 (MA). The current practice location address for Kathleen Heffernan is 258 Main St Ste B1, Bourne, MA 02532-3251 and can be reached out via phone at 857-263-3758.

Provider Profile Details

NPI Number
1548870710
Provider Name
Kathleen Heffernan
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
258 Main St Ste B1, Bourne, MA 02532-3251
Phone Number
857-263-3758
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2020
Last Update Date
July 14, 2022
Certification Date
July 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 Main St Ste B1
Bourne, MA 02532-3251
City
Bourne
Zip
02532-3251
Phone Number
857-263-3758
Bourne, MA 02532Get directions →

Provider Business Mailing Address Details

Address
258 Main St Ste B1
Bourne, MA 02532-3251
City
Bourne
State
MA
Zip
02532-3251
Phone Number
508-317-5900

License Information

License Number (1)
RN143164
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN143164
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Heffernan, APN?

The NPI number of Kathleen Heffernan, APN is 1548870710. It was assigned on August 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Kathleen Heffernan, APN?

Kathleen Heffernan, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN143164.

Where does Kathleen Heffernan, APN practice?

The practice location is 258 Main St Ste B1, Bourne, MA 02532-3251. The office can be reached at 857-263-3758 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548870710 directly on the NPPES registry website.

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