| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANNETTE MARIE HEINZMAN | 1912445719 | 2017-02-01 |
Annette Marie Heinzman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912445719. Registration indicates Annette Marie Heinzman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Annette Marie Heinzman PA-C |
| Other Provider Name | Annette Marie White |
| Practice Office Address | 1221 PLEASANT ST STE 100 DES MOINES, IA US |
| Practice Office Telephone | 5152822921 |
| Mailing Address | 1221 PLEASANT ST STE 100 DES MOINES, IA 503091424 US |
| Business Telephone | 5152822921 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 085613
IA |