Individual
BETHANY HEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
804 KENYON RD STE F, FORT DODGE, IA 50501-5748
(515) 576-3100
(515) 576-3104
Mailing address
804 KENYON RD STE F, FORT DODGE, IA 50501-5748
(515) 576-3100
(515) 576-3104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A113048
IA
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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