Provider Demographics
NPI:1053103499
Name:DAY, HEATHER ALYSE (SNM)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ALYSE
Last Name:DAY
Suffix:
Gender:F
Credentials:SNM
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:ALYSE
Other - Last Name:ROONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31341 PINEVIEW LOOP
Mailing Address - Street 2:
Mailing Address - City:POLSON
Mailing Address - State:MT
Mailing Address - Zip Code:59860-7663
Mailing Address - Country:US
Mailing Address - Phone:406-833-0240
Mailing Address - Fax:
Practice Address - Street 1:31341 PINEVIEW LOOP
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-7663
Practice Address - Country:US
Practice Address - Phone:406-833-0240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN-96805163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient