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MS. HEIDI RUTH KALLESTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
3050 REGENT BLVD STE 400, IRVING, TX 75063-5808
(214) 689-8067
Mailing address
24306 E 3RD AVE, LIBERTY LAKE, WA 99019-9656
(206) 999-8229

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
23483-A
ID

Other

Enumeration date
10/05/2011
Last updated
10/05/2011
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