NPI 1487301974 · live from the CMS NPI Registry
Heidi Eileen Rose, MFT
Marriage & Family Therapist in Fairbanks, AK. National Provider Identifier 1487301974, active.
NPI record
| NPI | 1487301974 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3504 Industrial Ave Ste 214, Fairbanks, AK 99701 |
| Practice phone | 907-452-4673 |
| Mailing address | 4005 Teal Ave, Fairbanks, AK 99709 |
| Enumerated | March 4, 2022 |
| Last updated | March 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.