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NPI Code Detail

MEDICARE: ANN MICHELE HEYMANN

MEDICARE: ANN MICHELE HEYMANN
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
1367A00000XAdvanced Practice Midwife152AZ
2367A00000XAdvanced Practice Midwife815AK

General Provider Information

NPI Number : 1154346807
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MICHELE HEYMANN
Provider Business Mailing Address
First Line : 5428 E VIRGINIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5428 E VIRGINIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1706
Country : US
Telephone Number : 602-840-5441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 06/05/2008

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Directions to “ ANN MICHELE HEYMANN ” Practice Location

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