Individual
NICOLE HEAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
82981
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265182968
—
WI
Enumeration date
03/25/2022
Last updated
07/01/2025
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