Individual
HEIDI BODDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, SRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(801) 842-4290
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(801) 842-4290
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN155337
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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