Individual
HEATHER STUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3820
(218) 327-2001
(218) 327-0456
Mailing address
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3820
(218) 327-2001
(218) 327-0456
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8142
MN
Other
Enumeration date
04/19/2021
Last updated
10/08/2021
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