Individual
ROSITA HEIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-5700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18108-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
18108-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100408129
—
WI
Enumeration date
03/04/2026
Last updated
04/27/2026
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