Individual
ELLEN CATHERINE HEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033357
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0033357
OH
Other
Enumeration date
05/15/2023
Last updated
08/11/2023
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