Individual
COURTNEY-MAREE HEYNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1417 S. CLIFF AVE., STE. 401, SIOUX FALLS, SD 57105-1064
(605) 322-8920
(605) 322-8919
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-8919
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CM000065
SD
367A00000X
Advanced Practice Midwife
RN160603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972749C
—
GA
01
—
202I429644
MEDICARE PTAN
GA
Enumeration date
06/30/2005
Last updated
10/10/2018
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