person
Samantha Rae Heitner
Student in an Organized Health Care Education/Training Program in New Lenox, Illinois
NPI 1679202147

Samantha Rae Heitner is a Student in an Organized Health Care Education/Training Program based in New Lenox, IL. Samantha Rae Heitner practices in New Lenox, IL. The NPI Number for Samantha Rae Heitner is 1679202147 and holds a License No. (Illinois).

The current practice location address for Samantha Rae Heitner is 147 Central Rd, New Lenox, IL and can be reached out via phone at 815-641-0777.

Location: 147 Central Rd, New Lenox, IL, 60451-2103
person
Provider Profile Details
NPI Number
1679202147
Provider Name
Samantha Rae Heitner
Credential
Provider Entity Type
Individual
Gender
Female
Address
147 Central Rd, New Lenox, IL, 60451-2103
Phone Number
815-641-0777
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
147 Central Rd
City
State
Zip
60451-2103
Phone Number
815-641-0777
Fax Number
person
Provider Business Mailing Address Details
Address
147 Central Rd
City
State
Zip
60451-2103
Phone Number
815-641-0777
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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