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NPI Code Detail

MEDICARE: HEIDI L KORB APNP

MEDICARE:   HEIDI L KORB  APNP
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
1363LF0000XFamily Nurse Practitioner2988-33WI

General Provider Information

NPI Number : 1265581011
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI L KORB APNP
Provider Business Mailing Address
First Line : 801 YORK ST
Second Line :
City : MANITOWOC
State : WI
Zip : 54220-4630
Country : US
Telephone Number : 920-663-9016
Fax Number : 920-684-1439
Provider Business Practice Location Address
First Line : 5501A VERN HOLMES DR
Second Line :
City : STEVENS POINT
State : WI
Zip : 54482-9791
Country : US
Telephone Number : 715-344-0172
Fax Number : 715-344-3619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 03/30/2021

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Directions to “ HEIDI L KORB APNP” Practice Location

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