Individual provider · Type 1 NPI
Amy Heidenreich
Psychiatric/Mental Health Nurse Practitioner · Milwaukee, WI
NPI number
1396219036
Active
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
1655 N Mayfair Rd Unit 26912
Wauwatosa, WI 53226-4933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 6585-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1396219036
Amy Heidenreich's National Provider Identifier is 1396219036, issued on Jan 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 26, 2021.