Provider Demographics
NPI:1750430781
Name:SCHLEPP - KLIEMISCH, HEIDI JOAN (RNFA)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:JOAN
Last Name:SCHLEPP - KLIEMISCH
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:JOAN
Other - Last Name:SCHLEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1075 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4057
Mailing Address - Country:US
Mailing Address - Phone:772-778-8130
Mailing Address - Fax:
Practice Address - Street 1:1986 31ST AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6628
Practice Address - Country:US
Practice Address - Phone:772-569-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9186881163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant