-- CHARLES LEE HIEMENZ -- Nurse Practitioner
Individual Provider (NPI-1)
Active
Nurse Practitioner, Gerontology
Provider Information
- NPI Number
1649318726- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Nurse Practitioner
- Status
- Active
Contact & Location
- Address
- 4801 8TH ST N, ST. CLOUD, MN, 563032099
- Phone
- (320) 252-1670
Specialties & Taxonomies
Nurse Practitioner, Gerontology
Primary License: MN #R086748-9