Individual
LACEY HEIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 398-8980
(308) 398-5401
Mailing address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 398-8980
(308) 398-5401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74675
NE
363LF0000X
Family Nurse Practitioner
112217
NE
363LP2300X
Primary Care Nurse Practitioner
Primary
112217
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099928
GROUP PTAN
NE
Enumeration date
04/18/2017
Last updated
01/07/2026
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