| Nathan S Hefner | |
|
2340 Commonwealth Dr Charlottesvle VA 22901-1634 | |
| (434) 249-8416 | |
| Not Available |
| Full Name | Nathan S Hefner |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2340 Commonwealth Dr, Charlottesvle, Virginia |
| Authorized Official Name and Position | Holly Shumate (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4343161826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan S Hefner 2340 Commonwealth Dr Charlottesvle VA 22901-1634 Ph: () - | Nathan S Hefner 2340 Commonwealth Dr Charlottesvle VA 22901-1634 Ph: (434) 249-8416 |
| NPI Number | 1518775295 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518775295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |