Provider Demographics
NPI:1861372898
Name:KISER, HEATHER MICHELLE
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:KISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 TRALEE LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-5683
Mailing Address - Country:US
Mailing Address - Phone:530-605-9779
Mailing Address - Fax:
Practice Address - Street 1:4425 TRALEE LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-5683
Practice Address - Country:US
Practice Address - Phone:530-605-9779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA846722163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency