Individual
MR. NICK HEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
411 3RD ST, MONETT, MO 65708-2008
(417) 476-1000
(417) 476-1082
Mailing address
PO BOX 100, PIERCE CITY, MO 65723-2100
(417) 476-1000
(417) 476-1082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016006114
MO
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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