Individual
MRS. HEIDI MARIE PUCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
920 E 28TH ST, STE 180, MINNEAPOLIS, MN 55407-1139
(612) 338-1100
(612) 871-9580
Mailing address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124
(952) 432-6161
(952) 432-7019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133508 8
MN
363LF0000X
Family Nurse Practitioner
Primary
4483
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133508 8
REGISTERED NURSE
MN
Enumeration date
03/22/2007
Last updated
12/06/2021
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