Individual
KATHRYN ANN HEETLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 E RIDGEWAY AVE, WATERLOO, IA 50702-5060
(319) 272-2800
(319) 272-2807
Mailing address
200 E RIDGEWAY AVE, WATERLOO, IA 50702-5060
(319) 272-2800
(319) 272-2807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H120703
IA
363LG0600X
Gerontology Nurse Practitioner
J120703
IA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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