Individual
DR. CHANEL MARIE HEERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNMC PSYCHIATRY, 985575 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-0001
(402) 552-6002
Mailing address
7609 SPRINGFIELD DR, OMAHA, NE 68114-1610
(308) 224-0191
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
23689
NE
2084P0800X
Psychiatry Physician
31232
AZ
2084P0800X
Psychiatry Physician
Primary
DR.0044171
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777849-03
—
AZ
Enumeration date
05/26/2006
Last updated
07/09/2015
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