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Individual
AMY HEIDENREICH
Active
Individual
AMY HEIDENREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6585-33
WI
Other
Enumeration date
01/16/2019
Last updated
09/26/2021
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