Individual
HEATHER J. UNGEHEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-5598
(785) 354-5396
Mailing address
823 SW MULVANE LOWER LEVEL, PHYSICIAN SUPPORT SERVICES, TOPEKA, KS 66606-1764
(785) 354-6626
(785) 354-6305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75375-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002170
MEDICARE PTAN
KS
05
—
200721630B
—
KS
Enumeration date
05/19/2011
Last updated
04/14/2016
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