Individual
MILLICENT MAE HEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 320-1500
(512) 459-1399
Mailing address
300 E HIGHLAND MALL BLVD STE 1A, AUSTIN, TX 78752-3746
(512) 320-1500
(512) 459-1399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140187
TX
363LP2300X
Primary Care Nurse Practitioner
AP140187
TX
Other
Enumeration date
01/21/2019
Last updated
03/14/2024
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