Millicent Mae Heisner
Millicent Mae Heisner is a Primary Care Nurse Practitioner in Austin, Texas. Licensed in Texas. Registered with an NPI since 2019.
- Licensed in
- TX
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
408 W 45th StAustin, TX 78751-3014
Phone: (512) 320-1500
Fax: (512) 459-1399
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence AP140187 (TX) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence AP140187 (TX) |
Record details
| NPI number | 1407320641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 21, 2019 |
| Last updated in NPPES | March 14, 2024 |
| Certification date | March 14, 2024 |
| Mailing address | 300 E Highland Mall Blvd Ste 1a, Austin, TX 78752-3746 |
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