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NPI Code Detail

MEDICARE: MRS. HEIDI PROTTSMAN

MEDICARE: MRS. HEIDI PROTTSMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12088161NE

General Provider Information

NPI Number : 1588034763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI PROTTSMAN
Provider Business Mailing Address
First Line : 8050 N 129TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68142-1804
Country : US
Telephone Number : 402-561-6130
Fax Number :
Provider Business Practice Location Address
First Line : 8050 N 129TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68142-1804
Country : US
Telephone Number : 402-561-6130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 10/01/2015

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Directions to “ MRS. HEIDI PROTTSMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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