Individual
STACIA LENORE HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11074
MN
363LF0000X
Family Nurse Practitioner
F09230590
ND
Other
Enumeration date
12/14/2023
Last updated
02/07/2024
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