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NPI Code Detail

MEDICARE: KRISTEN KIM HEIMBUCH CRNA

MEDICARE: KRISTEN KIM HEIMBUCH CRNA
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
1367500000XCertified Registered Nurse AnesthetistD096122IA
2367500000XCertified Registered Nurse Anesthetist6074-33WI
3367500000XCertified Registered Nurse Anesthetist20913517IL
4367500000XCertified Registered Nurse Anesthetist1714MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235200023
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN KIM HEIMBUCH CRNA
Provider Business Mailing Address
First Line : 8070 RAPHAEL DR
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-9459
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2099
Country : US
Telephone Number : 608-723-2143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 02/20/2026

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