Individual
HEIDI GOEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CNP
Contact information
Practice address
1825 WOODWINDS DR, WOODBURY, MN 55125
(651) 232-6700
Mailing address
1825 WOODWINDS DR, WOODBURY, MN 55125-2202
(651) 232-6700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 185136-8
MN
Other
Enumeration date
08/14/2014
Last updated
08/16/2018
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