Individual
KATRINA HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
523A 27TH AVE N, NASHVILLE, TN 37209-4110
(402) 968-8226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31187
TN
Other
Enumeration date
03/08/2022
Last updated
03/11/2022
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