Heidi Spurlock-mondragon, LPN is a
Licensed Practical Nurse based in Krakow, Wisconsin. Heidi Spurlock-mondragon is licensed to practice in Wisconsin (license number 319384) and her current practice location is
2270 State Highway 32, Krakow, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 655-8666.
NPI number for Heidi Spurlock-mondragon is 1730554718 and her current mailing address is 2270 State Highway 32, Krakow, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730554718.
Provider's Profile
Full Name | Heidi Spurlock-mondragon |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2270 State Highway 32, Krakow, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730554718
- Provider Enumeration Date: 12/02/2015
- Last Update Date: 12/02/2015
Medical Identifiers
Medical identifiers for Heidi Spurlock-mondragon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730554718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 319384 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heidi Spurlock-mondragon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heidi Spurlock-mondragon, LPN 2270 State Highway 32, Krakow, WI 54137-9729 Ph: (920) 655-8666 | Heidi Spurlock-mondragon, LPN 2270 State Highway 32, Krakow, WI 54137-9729 Ph: (920) 655-8666 |
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