Heise, Lynn M

Heise, Lynn M is an individual health care provider with primary practice located at 2601 Thornton Ln , Temple TX 76502-1808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Heise, Lynn M can be contacted via phone (254) 724-6622.

Contact Information

Primary practice address
2601 Thornton Ln Temple TX 76502-1808
Phone: (254) 724-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1993-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP125622 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP125622 Texas

Profile Details

NPI number 1093791022
LBN Legal business name Heise, Lynn M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Nov 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093791022 NPPES
Wisconsin MEDICAID 43955900

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