Individual
KRISTEN J HEFFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
(320) 257-1733
Mailing address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(563) 382-5458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A086912
IA
363LP0200X
Pediatric Nurse Practitioner
34
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43832300
—
WI
Enumeration date
06/20/2005
Last updated
03/26/2020
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