Individual
PAYTON HEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8426 STACY DR, FREDONIA, WI 53021-9643
(262) 675-4282
Mailing address
8426 STACY DR, FREDONIA, WI 53021-9643
(262) 675-4282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1113810-30
WI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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