Active NPIIndividual providerSole proprietor

Heather Lake, RN

Registered Nurse in New Bedford, Massachusetts

NPI Number1972051886
Practice location
543 North St, New Bedford, MA 02740-2782
Fax
508-990-3946
Last updated
September 20, 2016

Heather Lake is a Registered Nurse based in New Bedford, MA. Heather Lake practices in New Bedford, MA and has the professional credentials of RN. The NPI Number for Heather Lake is 1972051886 and holds a License No. RN230639 (MA). The current practice location address for Heather Lake is 543 North St, New Bedford, MA 02740-2782 and can be reached out via phone at 508-992-0444 and via fax at 508-990-3946.

Provider Profile Details

NPI Number
1972051886
Provider Name
Heather Lake
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
543 North St, New Bedford, MA 02740-2782
Phone Number
508-992-0444
Fax Number
508-990-3946
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2016
Last Update Date
September 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
543 North St
New Bedford, MA 02740-2782
Zip
02740-2782
Phone Number
508-992-0444
Fax Number
508-990-3946
New Bedford, MA 02740Get directions →

Provider Business Mailing Address Details

Address
543 North St
New Bedford, MA 02740-2782
City
New Bedford
State
MA
Zip
02740-2782
Phone Number
508-992-0444
Fax Number
508-990-3946

License Information

License Number
RN230639
License State
MA
Taxonomy
Registered Nurse · 163W00000X · 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 Heather Lake, RN?

The NPI number of Heather Lake, RN is 1972051886. It was assigned on September 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Heather Lake, RN?

Heather Lake, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN230639.

Where does Heather Lake, RN practice?

The practice location is 543 North St, New Bedford, MA 02740-2782. The office can be reached at 508-992-0444 (phone) or 508-990-3946 (fax).

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 1972051886 directly on the NPPES registry website.

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