Individual
HEATHER ANN VAN LATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
(219) 365-8291
Mailing address
15900 W 101ST AVE, DYER, IN 46311-3065
(219) 365-6333
(219) 365-8291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28195842A
IN
Other
Enumeration date
02/01/2013
Last updated
03/19/2021
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