Individual
HEIDI A LARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
Mailing address
2361 PAYSPHERE CIRCLE, CHICAGO, IL 60067
(800) 322-9183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014249
IL
363L00000X
Nurse Practitioner
6877-33
WI
363LF0000X
Family Nurse Practitioner
209014249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109575
—
WI
Enumeration date
05/02/2016
Last updated
03/19/2025
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