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NPI Code Detail

MEDICARE: KATHLEEN HEIMERMANN

MEDICARE: KATHLEEN HEIMERMANN
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
1163W00000XRegistered Nurse1929562MN
2163W00000XRegistered Nurse145825-030WI

General Provider Information

NPI Number : 1447371067
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN HEIMERMANN
Provider Business Mailing Address
First Line : 5621 COUNTY ROAD 101
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4214
Country : US
Telephone Number : 920-906-5167
Fax Number :
Provider Business Practice Location Address
First Line : 5621 COUNTY ROAD 101
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4214
Country : US
Telephone Number : 952-401-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 04/13/2026

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Directions to “ KATHLEEN HEIMERMANN ” Practice Location

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