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Charles Lee Hiemenz, NURSEPRACTITIONER
Gerontology Nurse Practitioner in St. Cloud, Minnesota
NPI 1649318726

Charles Lee Hiemenz is a Gerontology Nurse Practitioner based in St. Cloud, MN and is specialized in Gerontology. Charles Lee Hiemenz practices in St. Cloud, MN and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Charles Lee Hiemenz is 1649318726 and holds a License No. R086748-9 (Minnesota).

The current practice location address for Charles Lee Hiemenz is 4801 8Th St N, St. Cloud, MN and can be reached out via phone at 320-252-1670.

Location: 4801 8Th St N, St. Cloud, MN, 56304-0435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649318726
Provider Name
Charles Lee Hiemenz
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
4801 8Th St N, St. Cloud, MN, 56304-0435
Phone Number
320-252-1670
Fax Number
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4801 8Th St N
City
St. Cloud
State
Minnesota
Zip
56303-2099
Phone Number
320-252-1670
Fax Number
person
Provider Business Mailing Address Details
Address
4801 8Th St N
City
St. Cloud
State
Minnesota
Zip
56303-2099
Phone Number
320-252-1670
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
R086748-9 (Minnesota)
Definition
Definition to come...
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