Individual
HEIDI KAY PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
728 ERIE STEET, STORM LAKE, IA 50588
(712) 213-8402
(712) 213-8411
Mailing address
728 ERIE STREET, STORM LAKE, IA 50588
(712) 213-8402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A157446
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G176868
IA
Other
Enumeration date
01/10/2020
Last updated
02/20/2024
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