Heinicke, Mary Ann

Heinicke, Mary Ann is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Heinicke, Mary Ann can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R097601-1 Minnesota

Profile Details

NPI number 1578878112
LBN Legal business name Heinicke, Mary Ann
Credentials RN CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2010
Last updated Nov 6th, 2012 - about 13 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.

Request for update

Popular Providers