MEDICARE: HEIDI JEAN ABBOTT CNM

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
1	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1578334504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI JEAN ABBOTT CNM

Provider Business Mailing Address
First Line	:	4508 38TH ST STE 260
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1636
Country	:	US
Telephone Number	:	402-564-0205
Fax Number	:

Provider Business Practice Location Address
First Line	:	4508 38TH ST STE 260
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1636
Country	:	US
Telephone Number	:	402-564-0205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	08/15/2024

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Directions to “ HEIDI JEAN ABBOTT CNM” Practice Location

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