Individual
HEIDI HALLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
4636 280TH AVE, GARY, MN 56545-9354
(218) 261-1618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2246668
MN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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