Individual
KASEY HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
36 E TWOHIG AVE STE 1100, SAN ANGELO, TX 76903-6473
(325) 658-6524
Mailing address
36 E TWOHIG AVE STE 1100, SAN ANGELO, TX 76903-6473
(325) 658-6524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139129
TX
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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