Individual
KRISTEN KIM HEIMBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2099
(608) 723-2143
Mailing address
8070 RAPHAEL DR, DUBUQUE, IA 52003-9459
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1714
MN
367500000X
Certified Registered Nurse Anesthetist
20913517
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
6074-33
WI
367500000X
Certified Registered Nurse Anesthetist
D096122
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235200023
—
WI
Enumeration date
11/13/2006
Last updated
02/20/2026
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