Heynen, Courtney-Maree

Heynen, Courtney-Maree is an individual health care provider with primary practice located at 1417 S. Cliff Ave. Ste. 401, Sioux Falls SD 57105-1064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Heynen, Courtney-Maree can be contacted via phone (605) 322-8920.

Contact Information

Primary practice address
1417 S. Cliff Ave. Ste. 401 Sioux Falls SD 57105-1064
Phone: (605) 322-8920
Fax: (605) 322-8919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN160603 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CM000065 South Dakota

Profile Details

NPI number 1952308397
LBN Legal business name Heynen, Courtney-Maree
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 10th, 2018 - about 8 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 1952308397 NPPES
Georgia Other 202I429644 MEDICARE PTAN
Georgia MEDICAID 000972749C MEDICARE PTAN

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