Individual
HEIDI MITTELSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 239-4404
(515) 239-4721
Mailing address
1215 DUFF AVE, POBOX 3014, AMES, IA 50010-5400
(515) 239-4404
(515) 239-4721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C128982
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C-128982
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-128982
APRN
IA
Enumeration date
09/08/2011
Last updated
02/22/2024
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