Provider Demographics
NPI:1891209664
Name:HEISER, SHEILA PATRICIA (APNP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:PATRICIA
Last Name:HEISER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S CENTRAL AVE STE 600B
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-4138
Mailing Address - Country:US
Mailing Address - Phone:715-387-1713
Mailing Address - Fax:
Practice Address - Street 1:630 S CENTRAL AVE STE 600B
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-4138
Practice Address - Country:US
Practice Address - Phone:715-387-1713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8205-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily