Individual
HEIDI ANN WONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2116 W FAIDLEY AVE STE 2100, GRAND ISLAND, NE 68803-4602
(308) 382-4297
Mailing address
409 S SMITH AVE, KENESAW, NE 68956-1503
(308) 991-1351
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
115552
NE
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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