Individual
KATHLEEN RANAE HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 415-1320
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 415-1320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015002703
IA
Other
Enumeration date
09/01/2015
Last updated
12/23/2015
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