Individual
HEIDI EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 W MAIN ST, ANOKA, MN 55303-2033
(763) 753-8658
Mailing address
20945 COUNTY ROAD 43 NW, BIG LAKE, MN 55309-9810
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
865711
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20945
INSURANCE
MN
Enumeration date
12/06/2022
Last updated
12/06/2022
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