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Heidi A Larder, NP
Nurse Practitioner in Kenosha, Wisconsin
NPI 1346695095

Heidi A Larder is a Nurse Practitioner based in Chicago, WI. Heidi A Larder practices in Kenosha, WI and has the professional credentials of NP. The NPI Number for Heidi A Larder is 1346695095 and holds a License No. 209014249 (Wisconsin).

The current practice location address for Heidi A Larder is 6811 118Th Ave, Kenosha, WI and can be reached out via phone at 262-857-5750. You can also correspond with Heidi A Larder through the mailing address at PO BOX 735031, CHICAGO, IL - 60673-5031 (mailing address contact number: ).

Location: 6811 118Th Ave, Kenosha, WI, 60673-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346695095
Provider Name
Heidi A Larder
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6811 118Th Ave, Kenosha, WI, 60673-5031
Phone Number
262-857-5750
Fax Number
Provider Enumeration Date
05/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100109575 05 WI
institution
Provider Business Practice Location Address Details
Address
6811 118Th Ave
City
Kenosha
State
Wisconsin
Zip
53142-8420
Phone Number
262-857-5750
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 735031
City
Chicago
State
Illinois
Zip
60673-5031
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6877-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209014249 (Illinois)
Definition
Definition to come...
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