Individual
MRS. HEIDI JEAN HARGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1248 GILS WAY, CROSS PLAINS, WI 53528-8834
(608) 852-7368
Mailing address
135 VILAS HIBBARD PKWY, LODI, WI 53555-1361
(608) 444-0366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159103-030
WI
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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