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Individual

HEATHER GUMMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
699 WALNUT ST STE 400, DES MOINES, IA 50309-3962
(515) 441-7944
Mailing address
PO BOX 153, WILLOW SPRINGS, MO 65793-0153
(515) 441-7944

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G189695
IA

Other

Enumeration date
08/08/2018
Last updated
03/11/2026
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