Individual
HEIDI MIESS-GLADDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6831
(608) 258-6340
Mailing address
2187 COLLADAY POINT DR, STOUGHTON, WI 53589-3076
(608) 334-1564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
115754030
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
621333
WI
Other
Enumeration date
12/13/2016
Last updated
12/26/2023
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