Provider Demographics
NPI:1568651784
Name:HEYER, WENDY S (RN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:S
Last Name:HEYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15830 HARRIGAN DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-2826
Mailing Address - Country:US
Mailing Address - Phone:262-783-5442
Mailing Address - Fax:
Practice Address - Street 1:13705 W GREEN MEADOW DR
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-3135
Practice Address - Country:US
Practice Address - Phone:262-786-6974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI90582-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse