Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Heinicke, RNCNNP

Individual provider Neonatal Nurse Practitioner · NPI 1578878112

Mary Ann Heinicke, RNCNNP is a Neonatal Nurse Practitioner in St Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010

Practice location Address checks out

1200 Sixth Ave N Centracare Clinic
St Cloud, MN 56303-2735
Phone: (320) 251-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence R097601-1 (MN)

Record details

NPI number1578878112
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNCNNP
Sole proprietorNo
NPI enumeratedAugust 6, 2010
Last updated in NPPESNovember 6, 2012

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