Provider Demographics
NPI:1609205228
Name:TEMPLIN, HEATHER R (DNP, APRN, ACNP)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:R
Last Name:TEMPLIN
Suffix:
Gender:F
Credentials:DNP, APRN, ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N 30TH ST # 3700
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-280-4658
Mailing Address - Fax:402-280-4623
Practice Address - Street 1:601 N 30TH ST # 3700
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-280-4658
Practice Address - Fax:402-280-4623
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6386-33363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care