Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Nielsen, MSED

Individual provider Specialist · NPI 1780945675

Heather Nielsen, MSED is a Specialist in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

1205 Main St
Port Jefferson, NY 11777-2221
Phone: (631) 664-4317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 868372 (NY)

Record details

NPI number1780945675
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 6, 2012
Last updated in NPPESJune 6, 2012

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