Individual
CHERYL A. HEFTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
416 2ND AVE N, FORT TOTTEN, ND 58335
(701) 766-1251
(701) 766-1260
Mailing address
4507 HIGHWAY 20, DEVILS LAKE, ND 58301-8518
(701) 662-2414
(701) 766-1260
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R19042
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26450
BLUE CROSS/BLUE SHIELD
ND
Enumeration date
08/23/2006
Last updated
07/08/2007
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