Mary Ann Heinicke, RN CNNP

NPI #1578878112 in St Cloud, Minnesota

Provider Information

NPI Number
1578878112
Entity Type
Individual
Name
Mary Ann Heinicke, RN CNNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Neonatal
Credential
RN CNNP
Enumeration Date
Aug 6, 2010
Last Updated
Nov 6, 2012

Practice Location

Address
1200 SIXTH AVE N
Address 2
CENTRACARE CLINIC
ZIP Code
56303-2735
Phone
(320) 251-2700

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - NeonatalNeonatal

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