Provider Demographics
NPI:1700695962
Name:CAUSEY, HEATHER R (CSFA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:ELKLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65644-7269
Mailing Address - Country:US
Mailing Address - Phone:417-288-3126
Mailing Address - Fax:
Practice Address - Street 1:424 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:ELKLAND
Practice Address - State:MO
Practice Address - Zip Code:65644-7269
Practice Address - Country:US
Practice Address - Phone:417-288-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical