Organization
HEART OF THE VALLEY HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON EILEEN J HARRIS APRN (CEO)
(563) 426-5136
Entity
Organization
Contact information
Practice address
1014 MAIN ST, ELGIN, IA 52141-9616
(563) 426-5136
(563) 426-5139
Mailing address
1014 MAIN ST, ELGIN, IA 52141-9616
(563) 426-5136
(563) 426-5139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-112377
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499350
—
IA
01
—
I11817
INDV. MEDICARE LEGACY
IA
Enumeration date
06/03/2006
Last updated
09/06/2007
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