Individual
HEATHER MICHELLE WURDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1130 W 4TH ST STE 3204, LAWRENCE, KS 66044-1345
(785) 505-5815
(785) 505-5278
Mailing address
825 ROMINE RDG, OSAGE CITY, KS 66523-9081
(785) 219-1526
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-81842-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004901400001
—
KS
Enumeration date
01/23/2023
Last updated
03/10/2023
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