Individual
LINDA JOANN HEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2031
Mailing address
1929 EASTERN AVE, DAVENPORT, IA 52803-2001
(563) 528-2878
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041.276199
IL
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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