Heidi L Haasl Vanornum, is a
Licensed Practical Nurse based in Edgar, Wisconsin. Heidi L Haasl Vanornum is licensed to practice in Wisconsin (license number 307303) and her current practice location is
700 Madge Ave Lot 3, Edgar, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 570-9757.
NPI number for Heidi L Haasl Vanornum is 1891042750 and her current mailing address is 700 Madge Ave Lot 3, Edgar, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891042750.
Provider's Profile
| Full Name | Heidi L Haasl Vanornum |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 700 Madge Ave Lot 3, Edgar, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891042750
- Provider Enumeration Date: 08/10/2012
- Last Update Date: 08/10/2012
Medical Identifiers
Medical identifiers for Heidi L Haasl Vanornum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891042750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 307303 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heidi L Haasl Vanornum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heidi L Haasl Vanornum,
700 Madge Ave Lot 3,
Edgar, WI 54426-9398
Ph: (715) 570-9757 | Heidi L Haasl Vanornum,
700 Madge Ave Lot 3,
Edgar, WI 54426-9398
Ph: (715) 570-9757 |
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