Individual
REBECCA HEIMBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
12700 SOUTHFORK RD, STE 230, SAINT LOUIS, MO 63128-3201
(314) 849-3711
(314) 849-0235
Mailing address
12700 SOUTHFORK RD, STE 230, SAINT LOUIS, MO 63128-3201
(314) 849-3711
(314) 849-0235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2015036383
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2015036383
MO
Other
Enumeration date
01/11/2016
Last updated
03/14/2017
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