Individual
JOANNE H HEATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 070800-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500001400
RAILROAD MEDICARE
MN
05
—
760316900
—
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
SD
05
—
ENROLLED
—
WI
Enumeration date
01/05/2006
Last updated
09/13/2013
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