Individual
ERIC HEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-2000
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R39075
ND
Other
Enumeration date
01/31/2018
Last updated
03/17/2018
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