Individual
MRS. LYNN M HEIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
203 SKI CT, UNIT D, MADISON, WI 53713-4604
(608) 332-2180
Mailing address
203 SKI CT, UNIT D, MADISON, WI 53713-4604
(608) 332-2180
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
130363-30
WI
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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