Provider Demographics
NPI:1578334504
Name:ABBOTT, HEIDI JEAN (CNM)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:JEAN
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 38TH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-1636
Mailing Address - Country:US
Mailing Address - Phone:402-564-0205
Mailing Address - Fax:
Practice Address - Street 1:4508 38TH ST STE 260
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1636
Practice Address - Country:US
Practice Address - Phone:402-564-0205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife