| Alaina Royanne Heeter, CRNP | |
| 4186 Cortland Dr, New Paris, PA 15554-7706 | |
| (814) 839-4108 | |
| Not Available | 
| Full Name | Alaina Royanne Heeter | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4186 Cortland Dr, New Paris, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609506104 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025809 (Pennsylvania) | Primary | 
| 363L00000X | Nurse Practitioner | SP025809 (Pennsylvania) | Secondary | 
| Entity Name | Orchard Valley Physician Services Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083377345 PECOS PAC ID: 4385028034 Enrollment ID: O20230222002758 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alaina Royanne Heeter, CRNP 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 | Alaina Royanne Heeter, CRNP 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 | 
| Mr. Randy Wayne Lasut Jr., CRNP FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
| Brittany Cogan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
| Mrs. Christine Renee Brocious, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 |