Provider Information for 1356944474
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
HEIDI PACE
Sex: Female
NPI: 1356944474
Last Updated: 2025-01-16
Certification Date: 2025-01-13
Certification Date: 2025-01-13
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356944474 | ||||||||||||||||
| Enumeration Date | 2020-11-19 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 11273 S GRANDVILLE AVE APT K323 SOUTH JORDAN, UT 84009-1934 United States Phone: 801-599-9132 | Fax: | ||||||||||||||||
| Primary Practice Address | 11273 S GRANDVILLE AVE APT K323 SOUTH JORDAN, UT 84009-1934 United States Phone: 801-599-9132 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|