Provider Demographics
NPI:1982573374
Name:HEIDEMANN, EMMA CATHERINE
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:CATHERINE
Last Name:HEIDEMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 FREELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-3212
Mailing Address - Country:US
Mailing Address - Phone:978-821-1436
Mailing Address - Fax:
Practice Address - Street 1:2015 FREELAND AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-3212
Practice Address - Country:US
Practice Address - Phone:978-821-1436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH463767163WP0218X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0218XNursing Service ProvidersRegistered NursePediatric Oncology