NPI 1083107759
Heather Lee White, RSA
Practice location
- Address
- 750 Broadway Ave E, Mattoon, IL 61938-4610
- Phone
- (217) 238-5700
- Fax
- (217) 238-5767
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1083107759
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jun 2018
- Record last updated
- 7 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.