Individual
HEATHER L. MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
620 SMITH AVE, OCONTO, WI 54153-1080
(920) 834-4110
(920) 834-4117
Mailing address
620 SMITH AVE, OCONTO, WI 54153-1080
(920) 834-4110
(920) 834-4117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
147479-30
WI
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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