Individual
HEIDI LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209003835
IL
363LF0000X
Family Nurse Practitioner
209003835
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427331400
—
MO
Enumeration date
02/10/2006
Last updated
03/14/2016
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