Doctor Name: | HEATHER J. UNGEHEUER |
NPI Number: | 1013200369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 53-75375-101 |
Business Practice Address: | 901 Sw Garfield Ave Topeka, KS - 666061670 |
Business Phone Number: | 7853545598 |
Business Fax Number: | 7853545396 |
Mailing Address: | 823 Sw Mulvane Lower Level, Physician Support Services TOPEKA |
State: | KS |
Postal Code: | 666061764 |
Phone Number: | 7853546626 |
Fax Number: | 7853546305 |
NPI Enumeration Date: | 05/19/2011 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 53-75375-101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |