Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heidi Kathleen Hynes Nuttall, PA-C

Individual provider Medical Physician Assistant · NPI 1649442849

Heidi Kathleen Hynes Nuttall, PA-C is a Medical Physician Assistant in Bradley, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

400 Kennedy Dr Ste 100
Bradley, IL 60915
Phone: (815) 928-8050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085003195 (IL)

Record details

NPI number1649442849
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2008
Last updated in NPPESAugust 30, 2011

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