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Contact Information

ANDREA HEETER, PA-C, ATC
SANTO DOMINGO HEALTH CENTER
85 HWY 22
SANTO DOMINGO PUEBLO, NM87052
 Phone: 505-465-3060
 Fax: 505-465-1185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ANDREA HEETER · (Female)

NPI Number 1467509612
Status Active
Credentials PA-C, ATC
Entity Individual
Enumeration date 01/03/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9110591
Hospital affiliation(s)
  • WHITERIVER PHS INDIAN HOSPITAL - (Acute Care)
    200 WEST HOSPITAL DRIVE (PO BOX 860)
    WHITERIVER, AZ 85941
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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