Provider Demographics
NPI:1053702837
Name:NOPE, HEATHER MCDONALD (PA-C)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MCDONALD
Last Name:NOPE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 CHENEY DR W STE 200
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3721
Mailing Address - Country:US
Mailing Address - Phone:208-736-7422
Mailing Address - Fax:
Practice Address - Street 1:243 CHENEY DR W STE 200
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3721
Practice Address - Country:US
Practice Address - Phone:208-736-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-14
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant