Judy Ann Heil, RN
Individual provider Active NPI Registered Nurse · Stratford, WI
NPI 1992014310 · NPPES record last updated Oct 4, 2010
Key facts
- NPI
- 1992014310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 109540-30 (WI)
- Practice address
- 5268 Long Dr
Stratford, WI 54484-9491 - Phone
- (715) 687-3451
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109540-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109540-30 | WI | Yes |
Addresses
Primary practice location
5268 Long Dr
Stratford, WI 54484-9491
Mailing address
5268 Long Drive
Stratford, WI 54484
Phone (715) 687-3451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4SIBLINGS | Medicaid | WI |
Other providers in Stratford, WI
- Janice Lorraine Devine-Ruggles
- Corina Marie Dickmann
- Eric Raymond Dickmann
- Robin Lynn Dietel
- Timothy R Golemgeski
- Meghan M Heil
- Taylor Joswiak
- Trina Marie Kaiser
- Kori K Krueger
- Lynn Lammar
All providers in Stratford, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.