Provider Demographics
NPI:1184417545
Name:MAKK HEIDEMAN, HANNA CRISTINA (MD)
Entity type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:CRISTINA
Last Name:MAKK HEIDEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:HANNA
Other - Middle Name:CRISTINA
Other - Last Name:MAKK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4801 ALBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2707
Mailing Address - Country:US
Mailing Address - Phone:915-215-5000
Mailing Address - Fax:
Practice Address - Street 1:4801 ALBERTA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2707
Practice Address - Country:US
Practice Address - Phone:915-215-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program