Individual
HEIDI WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2120 PARK AVE, MINNEAPOLIS, MN 55404-3378
(612) 872-2051
(612) 872-5244
Mailing address
2120 PARK AVE, MINNEAPOLIS, MN 55404-3378
(612) 872-2051
(612) 872-5244
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 69517-2
MN
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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