Individual
MRS. HEATHER MARLENE HURLEY VANGERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1772 STEIGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
Mailing address
1772 STEIGER LAKE LN, PO BOX 34, VICTORIA, MN 55386-7723
(952) 443-9888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5514
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001442700
—
MN
01
—
017J6KI
BCBS
MN
01
—
1311578
CIGNA
MN
01
—
169036
UCARE
MN
01
—
4600402
MEDICA
MN
01
—
5658810228803
PREFERRED ONE
MN
01
—
76842
HEALTHPARTNERS
MN
Enumeration date
04/02/2015
Last updated
04/02/2015
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