Individual
ALANA HEITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3859 MAXWELL RD, OSHKOSH, WI 54904-9736
(920) 819-4972
Mailing address
3859 MAXWELL RD, OSHKOSH, WI 54904-9736
(920) 819-4972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000000000219791
WI
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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