Basic Information
Provider Information
NPI: 1194247965
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HEYING
FirstName: FRANCINE
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: FNP-C, CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2100 LOUISIANA BLVD NE STE 410
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871105412
CountryCode: US
TelephoneNumber: 5057244300
FaxNumber: 5053380034
Practice Location
Address1: 2100 LOUISIANA BLVD NE STE 410
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871105412
CountryCode: US
TelephoneNumber: 5057244300
FaxNumber: 5053380034
Other Information
ProviderEnumerationDate: 07/12/2017
LastUpdateDate: 01/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XCNP-03275NMY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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