Provider Demographics
NPI:1710127212
Name:HEIMAN, DENISE MARIE (ARNP, RN, MSN, CDE)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:HEIMAN
Suffix:
Gender:F
Credentials:ARNP, RN, MSN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:AXTELL
Mailing Address - State:KS
Mailing Address - Zip Code:66403-9604
Mailing Address - Country:US
Mailing Address - Phone:785-889-4274
Mailing Address - Fax:785-889-4117
Practice Address - Street 1:306 PARK AVE
Practice Address - Street 2:
Practice Address - City:AXTELL
Practice Address - State:KS
Practice Address - Zip Code:66403-9604
Practice Address - Country:US
Practice Address - Phone:785-889-4274
Practice Address - Fax:785-889-4117
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-48951-021163W00000X
CA840797163WD0400X
MNR182041-2163WD0400X
KS74673364SM0705X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical