Individual
HEIDI WILHELM TREHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1234
Mailing address
1233 MACEDONIA RD, NEWNAN, GA 30263-6107
(678) 673-7169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN195005
GA
363LF0000X
Family Nurse Practitioner
RN195005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861915647
GROUP NPI
GA
Enumeration date
08/31/2023
Last updated
03/20/2025
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