| Laura J Heitz, NP | |
|
2620 Commercial Way, Suite 051, Rock Springs, WY 82901-4755 | |
| (307) 382-2080 | |
| (307) 382-5099 |
| Full Name | Laura J Heitz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2620 Commercial Way, Rock Springs, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013090554 | NPI | - | NPPES |
| 312190 | Other | BLUE CROSS BLUE SHIELD | |
| 260064367 | Other | WY | TAX ID |
| 17189.0261 | Other | WY | STATE NURSING LICENSE |
| 118483100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17189.0261 (Wyoming) | Primary |
| Entity Name | Total Family Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083806111 PECOS PAC ID: 6901796358 Enrollment ID: O20040318000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J Heitz, NP 2620 Commercial Way, Suite 051, Rock Springs, WY 82901-4755 Ph: (307) 382-2080 | Laura J Heitz, NP 2620 Commercial Way, Suite 051, Rock Springs, WY 82901-4755 Ph: (307) 382-2080 |
Mrs. Dana Grenier, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2706 Ankeny Way, Rock Springs, WY 82901 Phone: 307-352-6689 | |
Brooke Fandrich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 N St Ste 202, Rock Springs, WY 82901 Phone: 307-630-3466 | |
Andrea Valdez, PMHNP-BC, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6680 | |
Mikayla Lapointe, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 College Dr, Rock Springs, WY 82901 Phone: 307-212-7708 | |
Emily C James, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1180 College Dr, Rock Springs, WY 82901 Phone: 307-352-8383 Fax: 307-352-8477 | |
Calie Wilson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2751 Commercial Way, Rock Springs, WY 82901 Phone: 307-382-7414 |