| NPI | 1245512284 |
|---|---|
| Other Name | HEIDI MARIE PRONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401384-1) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2023-10-30 |