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Individual

ELLEN CATHERINE HEIDEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3333 BURNET AVE. - ML 6015, CINCINNATI, OH 45229-3026
(513) 636-0800
(513) 803-0823
Mailing address
3333 BURNET AVE. - ML 6015, CINCINNATI, OH 45229-3026
(513) 636-0800

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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