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MELISSA WANDA MA-HEIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3211 S SENECA ST, WICHITA, KS 67217-3348
(316) 670-1582
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
13-98393-032
KS
363L00000X
Nurse Practitioner
79437
KS
363LF0000X
Family Nurse Practitioner
219617
OK
363LF0000X
Family Nurse Practitioner
Primary
53-79437-032
KS

Other

Enumeration date
05/26/2020
Last updated
06/03/2025
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