Individual
REGINA LYNN HEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1104 ANDOVER ST, LAWRENCE, KS 66049-3567
(785) 766-9964
Mailing address
1104 ANDOVER ST, LAWRENCE, KS 66049-3567
(785) 766-9964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-45385-042
KS
Other
Enumeration date
08/29/2006
Last updated
08/22/2024
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