Individual
LYNN M HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2601 THORNTON LN, TEMPLE, TX 76502-1808
(254) 724-6622
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1993-033
WI
363L00000X
Nurse Practitioner
AP125622
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP125622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43955900
—
WI
Enumeration date
12/21/2005
Last updated
11/11/2016
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