Basic Information
| Provider Information | |||||||||
| NPI: | 1144879289 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NOERRLINGER | ||||||||
| FirstName: | HEATHER | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX N | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 684460518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022692011 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2731 HEALTHCARE DR | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 684467880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022692011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2019 | ||||||||
| LastUpdateDate: | 09/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 112943 | NE | N | Allopathic & Osteopathic Physicians | Family Medicine | 363L00000X | 112943 | NE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 112943 | 01 | NE | APRN LICENSE | OTHER | 63387 | 01 | NE | RN LICENSE | OTHER |