Provider Demographics
NPI:1851673933
Name:OHNEMUS, HEATHER J (ARNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:J
Last Name:OHNEMUS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:MCGONEGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1008 11TH ST
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:IA
Mailing Address - Zip Code:52742-1210
Mailing Address - Country:US
Mailing Address - Phone:563-659-9137
Mailing Address - Fax:563-659-9869
Practice Address - Street 1:1008 11TH ST
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:IA
Practice Address - Zip Code:52742-1210
Practice Address - Country:US
Practice Address - Phone:563-659-9137
Practice Address - Fax:563-659-9869
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209009064363LA2200X
IAH121913363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health