HEIDI IRENE PROKOFIEV

HAMILTON, NJ
NPI1255772281
Former NameHEIDI IRENE FEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ  26NJ00501600)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  22658666)
163W00000X Registered Nurse
(Licence: NJ  26NR17126100)
163W00000X Registered Nurse
(Licence: PA  RN657712)
Enumeration Date2013-07-06
Last Update Date2017-05-01
Business Address
-- HEIDI IRENE PROKOFIEV APN
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619-1271
Phone number: 609-631-2839
Mailing Address
-- HEIDI IRENE PROKOFIEV APN
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619-1271
Phone number: 609-631-2839