Individual
HEIDI K WARMBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5703 MEMORIAL CT, WESTON, WI 54476-6502
(715) 204-9808
(774) 209-4285
Mailing address
5703 MEMORIAL CT, WESTON, WI 54476-6502
(843) 476-1684
(774) 209-4285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R33773
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10947-33
WI
Other
Enumeration date
10/17/2008
Last updated
10/10/2025
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