Organization
ADULT AND FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER LEIER NP-C (NURSE PRACTITIONER)
(701) 222-1300
Entity
Organization
Contact information
Practice address
1100 WEISS AVE, BISMARCK, ND 58503-0539
(701) 222-1300
Mailing address
1100 WEISS AVE, BISMARCK, ND 58503-0539
(701) 222-1300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R26704
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225057417
PERSONAL NPI
ND
Enumeration date
07/29/2006
Last updated
08/22/2020
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