Individual
HEATHER NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
496 MC CANNA PKWY, BURLINGTON, WI 53105-3623
(414) 279-6128
(866) 538-6903
Mailing address
3209 TANGLEWOOD DR, WAUKESHA, WI 53189-6889
(262) 385-2004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
171048-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9097-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171048-30
RN LICENSE
WI
01
—
9097-33
APNP LICENSE
WI
Enumeration date
02/13/2019
Last updated
01/13/2026
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