Individual
HEATHER RENEE LUCKEN SCHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R129123-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160612500
—
MN
01
—
1184650533
NPI
MN
Enumeration date
06/25/2006
Last updated
10/21/2024
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