Individual
HEATHER L HUNEMULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1228 E RUSHOLME ST STE 3060, DAVENPORT, IA 52803-2453
(563) 421-4244
(563) 421-4249
Mailing address
1228 E RUSHOLME ST STE 3060, DAVENPORT, IA 52803-2453
(563) 421-4244
(563) 421-4249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209007438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209007436
LICENSE
IL
01
—
A112392
LICENSE
IA
Enumeration date
02/05/2009
Last updated
06/07/2021
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