Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES LEE HIEMENZ, NURSE PRACTITIONER
ActiveCHARLES LEE HIEMENZ, NURSE PRACTITIONER is a Gerontological Nurse Practitioner healthcare provider located in ST. CLOUD, Minnesota. NPI 1649318726 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ST. CLOUD, MN
Registration Details
- NPI Number
- 1649318726
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.501958817834 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R086748-9 (MN)
Practice Information
- Address
-
4801 8TH ST NST. CLOUD, MN, 563032099Browse MN providers · Browse ZIP 56303
- Phone
- 3202521670
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.