Individual
ANGELA HEUERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
421 W EXCHANGE ST, FREEPORT, IL 61032-4008
Mailing address
1566 CHADBOURNE DR, DAVIS, IL 61019-9643
(815) 713-9983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-364362
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209-020517
IL
Other
Enumeration date
08/29/2012
Last updated
01/02/2020
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