Individual
HEATHER J SORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
721 AMERICAN AVE STE 205, PROHEALTH CARE DIABETES CENTER, WAUKESHA, WI 53188-5071
(262) 928-4695
Mailing address
721 AMERICAN AVE STE 205, PROHEALTH CARE DIABETES CENTER, WAUKESHA, WI 53188-5071
(262) 928-4695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
136222
WI
363L00000X
Nurse Practitioner
2113
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
2113
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43979600
—
WI
Enumeration date
04/12/2006
Last updated
11/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us