NPI

Andrea Heaton

NPI 1053133504

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
SUDC
Type
Individual
Enumeration date
2024-10-28
Last updated
2024-10-28

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Specialties

Licenses

License UT
13995833-6006

Location

Practice location
275 E South Temple Ste 250
City
Slc UT
Postal code
84111-1273
Phone
(801) 205-4026

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Slc, UT. 986 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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