Individual
MRS. MAUREEN ANN HEITMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
Mailing address
1710 KOESTNER ST, BURLINGTON, IA 52601-7007
(309) 313-4783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A171401
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2022
Last updated
12/20/2022
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