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MARY ANN HEINICKE RN CNNP
NPI 1578878112
Nurse Practitioner - Neonatal in St Cloud, MN

Active since August 06, 2010
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303(320) 251-2700 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Ann Heinicke Rn Cnnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN HEINICKE RN CNNP (NPI 1578878112) is an individual neonatal provider in St Cloud, Minnesota, licensed in Minnesota (R097601-1) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1578878112
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMARY ANN HEINICKECredential: RN CNNP
Location Address1200 SIXTH AVE N, CENTRACARE CLINICSt Cloud, MN 56303-2735
Mailing Address1200 Sixth Ave N, Centracare ClinicSt Cloud, MN 56303-2735 · (320) 251-2700
Phone(320) 251-2700
Sole ProprietorNo
Enumeration DateAugust 6, 2010
Last NPPES UpdateNovember 6, 2012
✔ NPI 1578878112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MN · R097601-1
1200 SIXTH AVE N, St Cloud, MN 56303
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID G BENDITT MD
Internal Medicine (Cardiovascular Disease)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Stearns County (320) 252-5131
TROY A PAYNE MD
Internal Medicine (Sleep Medicine)
1200 SIXTH AVE N, CENTRA CARE CLINIC
ST CLOUD, MN 56303
Stearns County (320) 251-0726
DR. CHRISTOPHER WILLIAM WIELAND MD
Hospitalist
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Stearns County (320) 251-2700
COURTNEY LYNN BREVER PA-C
Physician Assistant
1200 SIXTH AVE N
ST CLOUD, MN 56303
Stearns County (320) 656-7020
ALYSSA MARIE MONSON RD LD
Dietitian, Registered
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Stearns County (320) 252-3342
DR. JESSIE LEE KERNS ROSKE MD
Hospitalist
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Stearns County (320) 251-2700
PAUL L MAREK MD, FHM
Hospitalist
1200 SIXTH AVE N
ST CLOUD, MN 56303
Stearns County (320) 251-2700
DR. JEFFREY S GERDES MD
Neurological Surgery
1200 SIXTH AVE N, CENTRACARE CLINIC RIVER CAMPUS/NEROSURGERY
ST CLOUD, MN 56303
Stearns County (320) 259-1405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Heinicke's NPI number?

The NPI number for Mary Heinicke is 1578878112. It was assigned to this individual provider in the NPPES registry on August 6, 2010.

Where is Mary Heinicke located?

Mary Heinicke practices at 1200 Sixth Ave N Centracare Clinic, St Cloud, MN 56303. The listed phone number is (320) 251-2700.

What is Mary Heinicke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Mary Heinicke was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.