Individual
JULIA HECKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 MANOR DR, SURING, WI 54174-9182
(920) 842-4132
(920) 842-4133
Mailing address
425 MANOR DR, SURING, WI 54174-9182
(920) 842-4132
(920) 842-4133
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
186053-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41536700
—
WI
Enumeration date
05/22/2013
Last updated
05/22/2013
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