Individual
HEIDI LYNETTE DALHAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 W GUADALUPE RD STE 111, GILBERT, AZ 85233-3321
(480) 366-4490
(480) 854-3618
Mailing address
7975 N HAYDEN RD, STE D354, SCOTTSDALE, AZ 85258-3243
(480) 214-9720
(480) 214-9722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN183693
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP9872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298888
—
AZ
Enumeration date
03/27/2017
Last updated
10/27/2020
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