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Individual

RACHEL SUE HEIDENREICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7505 BURLINGTON PIKE, FLORENCE, KY 41042-1513
(859) 363-2060
(859) 647-3594
Mailing address
7505 BURLINGTON PIKE, FLORENCE, KY 41042-1513
(859) 363-2060
(859) 647-3594

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005308
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11980796
CAQH
KY
05
7100044870
KY
Enumeration date
09/12/2007
Last updated
03/29/2013
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