Provider Demographics
NPI:1922482769
Name:HEIMER, HEIDI MARIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:MARIE
Last Name:HEIMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 NEAL ST STE 400
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-4234
Mailing Address - Country:US
Mailing Address - Phone:507-298-1525
Mailing Address - Fax:507-299-9020
Practice Address - Street 1:2040 NEAL ST STE 400
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-4234
Practice Address - Country:US
Practice Address - Phone:507-298-1525
Practice Address - Fax:507-299-9020
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4499363LA2100X
IAH107493363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care