Provider Demographics
NPI:1619035425
Name:WILHELM, HEATHER MARIE (MSN APRNC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MARIE
Last Name:WILHELM
Suffix:
Gender:F
Credentials:MSN APRNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 WOOLWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1753
Mailing Address - Country:US
Mailing Address - Phone:402-880-3988
Mailing Address - Fax:402-749-8078
Practice Address - Street 1:4206 WOOLWORTH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1753
Practice Address - Country:US
Practice Address - Phone:402-880-3988
Practice Address - Fax:402-749-8078
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110696363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health