Individual
ALISON ROSE HEINLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, ANN ARBOR, MI 48109-5256
(734) 936-4000
(734) 763-4585
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704293999
MI
390200000X
Student in an Organized Health Care Education/Training Program
041331848
IL
Other
Enumeration date
09/27/2010
Last updated
09/05/2012
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