Provider Demographics
NPI:1871743393
Name:WRIGHT, HEIKE AHLEN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HEIKE
Middle Name:AHLEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:HEIKE
Other - Middle Name:
Other - Last Name:AHLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2216 BUENAVENTURA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3838
Mailing Address - Country:US
Mailing Address - Phone:505-338-0002
Mailing Address - Fax:530-768-1271
Practice Address - Street 1:2216 BUENAVENTURA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3838
Practice Address - Country:US
Practice Address - Phone:505-338-0002
Practice Address - Fax:530-768-1271
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPA2008-0053363A00000X
CAPA23045363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant