Individual
MRS. TANIE I HEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2226 SKYLINE RD, LARAMIE, WY 82070-8936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31197
WY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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