Provider Demographics
NPI:1497751903
Name:HEISER, ROBYN L (APRN)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:HEISER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1830
Mailing Address - Country:US
Mailing Address - Phone:402-336-4222
Mailing Address - Fax:
Practice Address - Street 1:304 E DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1830
Practice Address - Country:US
Practice Address - Phone:402-336-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE460423930OtherHUMANA
NE37397OtherBCBS OF NEBRASKA
NE0123938OtherMEDICA
NE236689OtherMIDLANDS CHOICE
NE46042393011Medicaid
NE9237771OtherDAKOTA CARE
NE0123938OtherMEDICA
NEP68373Medicare UPIN
NE37397OtherBCBS OF NEBRASKA
NE275985Medicare PIN