Individual
HEIDI MARIE BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
311 BOYD BLVD, LA PORTE, IN 46350-3965
(219) 325-4667
Mailing address
311 BOYD BLVD, LA PORTE, IN 46350-3965
(219) 325-4667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28222710A
IN
Other
Enumeration date
11/07/2019
Last updated
01/28/2020
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