Individual
MS. ANN BERNADETTE HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
34002 243RD ST, EASTON, KS 66020-7119
(913) 773-8652
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
45328
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45328
ADVANCED NURSE PRACTITION
KS
Enumeration date
05/23/2006
Last updated
09/20/2007
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