Provider Demographics
NPI:1538969332
Name:HEIMANN, ALEXANDRA DAWN (FNP)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:DAWN
Last Name:HEIMANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-996-8103
Mailing Address - Fax:314-996-3230
Practice Address - Street 1:1044 N MASON RD
Practice Address - Street 2:DIV IM GENERAL MED, STE 330
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6431
Practice Address - Country:US
Practice Address - Phone:314-996-8103
Practice Address - Fax:314-996-3230
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025008597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily