PATRICIA HERON
NPI 1164530556
Nurse Practitioner in Grand Haven, MI

Active since August 27, 2006
1091 S BEACON BLVD, GRAND HAVEN, MI 49417(616) 604-0096 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patricia Heron NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA HERON (NPI 1164530556) is an individual nurse practitioner in Grand Haven, Michigan, licensed in Michigan (4704237156) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164530556
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIA HERON
Location Address1091 S BEACON BLVDGrand Haven, MI 49417-2607
Mailing Address16051 Baird DrSpring Lake, MI 49456-2331
Sole ProprietorNo
Enumeration DateAugust 27, 2006
Last NPPES UpdateJune 24, 2008
NPI 1164530556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704237156
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1091 S BEACON BLVD, Grand Haven, MI 49417

Other Identifiers 4

Medicare UPINQ58620
Medicare ID-Type UnspecifiedP07630007
OtherPH237156Blue Cross Blue Shield
Medicaid4811777MI

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Family Medicine
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Nurse Practitioner (Family)
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Nurse Practitioner
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Nurse Practitioner (Family)
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Physician Assistant
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Nurse Practitioner (Family)
1091 S BEACON BLVD
GRAND HAVEN, MI 49417
Clinic/Center (Urgent Care)
1091 S BEACON BLVD
GRAND HAVEN, MI 49417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Heron's NPI number?

The NPI number for Patricia Heron is 1164530556. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Patricia Heron located?

Patricia Heron practices at 1091 S Beacon Blvd, Grand Haven, MI 49417. The listed phone number is (616) 604-0096.

What is Patricia Heron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Patricia Heron was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.