Heather J Sorum in Waukesha - Nurse Practitioner
Heather J Sorum - NPI 1801850524
Heather J Sorum is a Nurse Practitioner in Waukesha, Wisconsin. Heather J Sorum practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Heather J Sorum is 1801850524. The last update date is 2021-11-08.
Heather J Sorum's current location address is 721 American Ave Ste 205, Waukesha, Wisconsin. You can contact this provider via phone number 2629284695. The mailing address for Heather J Sorum is 721 American Ave Ste 205, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather J Sorum |
|---|---|
| Address | 721 American Ave Ste 205, Waukesha, Wisconsin |
| Phone Number | 2629284695 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1801850524 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2021-11-08 |
Provider Mailing Address Detail
| Address | 721 American Ave Ste 205 |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531885071 |
| Phone Number | 2629284695 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2113 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43979600 | WI | -- |
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What is the unique identifier code issued to Heather J Sorum by the Centers for Medicare & Medicaid Services?
The Heather J Sorum has been assigned the NPI (National Provider Identifier) 1801850524. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Heather J Sorum's facilities are situated?
The facilities of Heather J Sorum are physically located at the following address: 721 American Ave Ste 205, Waukesha, WI, 531885071.
What is Heather J Sorum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Heather J Sorum is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did Heather J Sorum receive its 1801850524 assignment from the Centers for Medicare & Medicaid Services?
The Heather J Sorum was assigned its 1801850524 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Heather J Sorum's details last updated?
The information pertaining to the Heather J Sorum, including its address, specialty, and other details, was most recently updated on 2021-11-08.