IndividualActive
Rebecca Heaven, PNP-AC/PC
NPI 1518312966 · Critical Care Pediatric Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1518312966
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP-AC/PC
- Sex
- Female
- Sole proprietor
- No
- License
- 2016009877 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 454-5065
Approximate (ZIP-level) locationGet directions
Mailing address
1 Childrens Pl
Saint Louis, MO 63110-1002
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.