Individual
MELINDA HEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6343 SUTTON DR, URBANDALE, IA 50322-8053
(515) 314-4144
Mailing address
6343 SUTTON DR, URBANDALE, IA 50322-8053
(515) 314-4144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A159963
IA
363LF0000X
Family Nurse Practitioner
Primary
A159963
IA
Other
Enumeration date
10/31/2020
Last updated
01/04/2021
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