Anna Maria Heindl, LPN

Individual provider Active NPI Licensed Vocational Nurse · Elm Grove, WI

NPI 1306195649 · NPPES record last updated Aug 31, 2012

Key facts

NPI
1306195649
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
31136031 (WI)
Practice address
13105 Watertown Plank Rd
Elm Grove, WI 53122-2213
Phone
(262) 754-4481
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31136031WIMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 31136031 WI Yes

Addresses

Primary practice location

13105 Watertown Plank Rd
Elm Grove, WI 53122-2213

Mailing address

1614 Victoria Dr
Waukesha, WI 53189-7413
Phone (262) 894-8065

Other providers in Elm Grove, WI

All providers in Elm Grove, WI · Licensed Vocational Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.