Individual
AMELIA M HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9261
(217) 258-2440
(217) 258-2186
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007669
IL
Other
Enumeration date
07/21/2009
Last updated
05/12/2022
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