Individual
HEIDE HUERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 NORTH WATER STREET, SUITE 400 - #232, MILWAUKEE, WI 53202
(415) 704-0624
Mailing address
1433 N WATER ST STE 400, MILWAUKEE, WI 53202-2603
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11909
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018417
CA
Other
Enumeration date
10/08/2021
Last updated
12/29/2023
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