# THERESA RENEE HEYNEKAMP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821137852
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD2009-0096 | NM | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | MD2009-0096 | NM | — |
| 207RP1001X | Pulmonary Disease Physician | MD2009-0096 | NM | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 01/21/2025