Individual
MS. ANN MARIE VANDEN HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1881 CHICAGO STREET, DEPERE, WI 54115
(920) 403-8000
(920) 403-8208
Mailing address
1881 CHICAGO STREET, DEPERE, WI 54115
(920) 403-8000
(920) 403-8208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4963
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024985
—
WI
Enumeration date
09/10/2012
Last updated
11/30/2021
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