Heidi Marie Bruckert
Heidi Marie Bruckert is a Nurse Practitioner in Shawano, Wisconsin. Qualified in 2018, 8 years ago. Practices with Green Bay Radiology SC, a 24-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 8
- Licensed in
- WI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1300 E Green Bay StShawano, WI 54166-2210
Phone: (715) 201-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 8675-33 (WI) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 126356-30 (WI) |
Record details
| NPI number | 1831681402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 30, 2018 |
| Last updated in NPPES | September 13, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Green Bay Radiology Sc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shawano
-
Manali Amin
100 County Road B, Shawano, WI 54166-7072 · (715) 526-8270
-
Kerry L Baird, APNP
100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161
-
Tiffani Lee Bohm, RN
513 E Green Bay St Apt 3, Shawano, WI 54166-2531 · (920) 598-1112
-
Tracy L Burke, RN
W7391 Elm Ave, Shawano, WI 54166-1035 · (715) 701-6299
-
Katherine M Farley, APNP
100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161
-
Jordan Giessel, RN
1003 S Franklin St, Shawano, WI 54166-3205 · (715) 304-9108
-
Nicole Lynn Gretzinger, RN
W6863 Cty B, Shawano, WI 54166-7064 · (715) 853-1816