Individual
NINA M. HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 LINCOLN ST, NEENAH, WI 54956-2753
(920) 727-4416
Mailing address
411 LINCOLN ST, NEENAH, WI 54956-2753
(920) 727-4416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2873
WI
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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