Organization
HIEDI LANE ARNP, PLLC
Active
Other names
Hiedi Lane ARNP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HIEDI C STJARNA LANE ARNP (OWNER)
(319) 321-0798
Entity
Organization
Contact information
Practice address
1101 E HEMPSTEAD AVE, FAIRFIELD, IA 52556-3035
(319) 321-0798
Mailing address
PO BOX 112, FAIRFIELD, IA 52556-0002
(319) 321-0798
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-107550
IA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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