Provider Demographics
NPI:1386992956
Name:HEPTING, NANCY (RN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:HEPTING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 WINTON ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-3267
Mailing Address - Country:US
Mailing Address - Phone:715-573-4742
Mailing Address - Fax:715-843-7877
Practice Address - Street 1:1007 WINTON ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-3267
Practice Address - Country:US
Practice Address - Phone:715-573-4742
Practice Address - Fax:715-843-7877
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI103789-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse