Individual provider · Type 1 NPI

Edith Ann Headrick, R.N.

Pediatric Registered Nurse · Manitowoc, WI

NPI number 1750587374 Active

Practice location

7525 English Lake Road
Manitowoc, WI 54220

Call (920) 758-3410 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X78218-030 (WI)

Pediatric Registered Nurse: Definition to come...

About NPI 1750587374

Edith Ann Headrick, R.N.'s National Provider Identifier is 1750587374, issued on Jun 21, 2007. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Manitowoc, WI. The record was last updated on Jul 9, 2007.