Basic Information
| Provider Information | |||||||||
| NPI: | 1255991295 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DELLINGER | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | LANNETTE | ||||||||
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| Credential: | APRN, WHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1515 EVOLVE DR | ||||||||
| Address2: | |||||||||
| City: | GARNER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275293571 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6143738027 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4551 NEW BERN AVE STE 160 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276101552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195561008 | ||||||||
| FaxNumber: | 9195566099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2019 | ||||||||
| LastUpdateDate: | 11/19/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 5012040 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.