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Heather Kmiecik, FNP-BC
Family Nurse Practitioner in Dyer, Indiana
NPI 1508405853

Heather Kmiecik is a Family Nurse Practitioner based in Dyer, IN and is specialized in Family. Heather Kmiecik practices in Dyer, IN and has the professional credentials of FNP-BC. The NPI Number for Heather Kmiecik is 1508405853 and holds a License No. 209019918 (Indiana).

The current practice location address for Heather Kmiecik is 875 Joliet St, Dyer, IN and can be reached out via phone at 219-440-7340.

Location: 875 Joliet St, Dyer, IN, 46311-1920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508405853
Provider Name
Heather Kmiecik
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
875 Joliet St, Dyer, IN, 46311-1920
Phone Number
219-440-7340
Fax Number
Provider Enumeration Date
01/04/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300035005 05 IN
institution
Provider Business Practice Location Address Details
Address
875 Joliet St
City
Dyer
State
Indiana
Zip
46311-1920
Phone Number
219-440-7340
Fax Number
person
Provider Business Mailing Address Details
Address
875 Joliet St
City
Dyer
State
Indiana
Zip
46311-1920
Phone Number
219-440-7340
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209019918 (Illinois)
Definition
Definition to come...
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