Heise, Maryjo Leigh

Heise, Maryjo Leigh is an individual health care provider with primary practice located at 720 S Vanburen St Suite201, Green Bay WI 54301-3534. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Heise, Maryjo Leigh can be contacted via phone (920) 433-7488.

Contact Information

Primary practice address
720 S Vanburen St Suite201 Green Bay WI 54301-3534
Phone: (920) 433-7488
Fax: (920) 433-7439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 135351-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5010-33 Wisconsin

Profile Details

NPI number 1689790461
LBN Legal business name Heise, Maryjo Leigh
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 9th, 2022 - about 4 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 1689790461 NPPES
Other F0812139 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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