Individual provider · Type 1 NPI

Millicent Mae Heisner

Nurse Practitioner · Austin, TX

NPI number 1407320641 Active

Practice location

408 W 45th St
Austin, TX 78751-3014

Fax (512) 459-1399

Mailing address

300 E Highland Mall Blvd Ste 1A
Austin, TX 78752-3746

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP140187 (TX)
Nurse Practitioner Primary 363L00000XAP140187 (TX)

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 1407320641

Millicent Mae Heisner's National Provider Identifier is 1407320641, issued on Jan 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Austin, TX. The record was last updated on Mar 14, 2024.