Hodkiewicz, Heather Marie

Hodkiewicz, Heather Marie is an sole proprietor health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hodkiewicz, Heather Marie can be contacted via phone (920) 288-8000.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 158641-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10581 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10581 Wisconsin

Profile Details

NPI number 1932771714
LBN Legal business name Hodkiewicz, Heather Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2021
Last updated May 4th, 2023 - about 3 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 1932771714 NPPES
Wisconsin MEDICAID 100177763

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