Individual
BROOKE RAE HEITKAMP HILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
Mailing address
406 18TH AVE N, WAHPETON, ND 58075-3320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R187809-5
MN
363LF0000X
Family Nurse Practitioner
Primary
R37595
ND
Other
Enumeration date
07/24/2013
Last updated
03/30/2022
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