Individual
HEATHER DAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403
(812) 676-4500
(812) 676-4501
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002374A
IN
Other
Enumeration date
04/24/2007
Last updated
12/02/2020
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