Provider Demographics
NPI:1659536548
Name:HEYING, SUSAN A (RN, CFNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:HEYING
Suffix:
Gender:F
Credentials:RN, CFNP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:A
Other - Last Name:OSTENDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1520 WHITNEY COURT
Mailing Address - Street 2:CENTRA CARE CLINIC-HEARTLAND
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1899
Mailing Address - Country:US
Mailing Address - Phone:320-251-1775
Mailing Address - Fax:
Practice Address - Street 1:1360 ELM ST E
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-4694
Practice Address - Country:US
Practice Address - Phone:320-363-1745
Practice Address - Fax:320-363-0031
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 121187 2363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily