Individual
HEIDI J JENNRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
500 MCMILLEN STREET, FORT ATKINSON, WI 53538-1223
(950) 563-5571
(920) 563-7705
Mailing address
500 MCMILLEN STREET, FORT ATKINSON, WI 53538-1223
(950) 563-5571
(920) 563-7705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2334-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41258200
—
WI
Enumeration date
04/10/2006
Last updated
03/07/2023
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