Individual
MARY K HEIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
411 LINCOLN ST, NETWORK HOUSE CALLS, NEENAH, WI 54956-2753
(920) 886-0818
(920) 427-1310
Mailing address
411 LINCOLN ST, NETWORK HOUSE CALLS, NEENAH, WI 54956-2753
(920) 886-0818
(920) 427-1310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3841-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005319
—
WI
Enumeration date
08/11/2009
Last updated
10/18/2012
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