Organization
HEARTLAND HEALTHCARE PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM DETLEFSEN DNP, FPMH-NP, B.C. (DR. ROBERT DETLEFSEN, DNP)
(319) 471-2479
Entity
Organization
Contact information
Practice address
455 N ORTHMCKENZIE LANE, NORTH LIBERTY, IA 52317-8901
(319) 471-2479
(877) 756-4974
Mailing address
455 N ORTHMCKENZIE LANE, NORTH LIBERTY, IA 52317-8901
(319) 471-2479
(877) 756-4974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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