Individual provider · Type 1 NPI

Shannon Gail Heidt, APRN

Nurse Practitioner · Janesville, WI

NPI number 1194306415 Active

Practice location

1000 Mineral Point Ave
Janesville, WI 53548-2940

Fax (608) 756-6236

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X258903-30 (WI)
Nurse Practitioner Primary 363L00000X10772-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194306415

Shannon Gail Heidt, APRN's National Provider Identifier is 1194306415, issued on Apr 19, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Janesville, WI. The record was last updated on Mar 5, 2024.