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Individual

MRS. HEATHER RENEE BURGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-C

Contact information

Practice address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 272-4300
Mailing address
4120 E SHAULIS RD, WATERLOO, IA 50702-4943
(319) 234-8078

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A099942
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076372
IA
Enumeration date
01/13/2015
Last updated
01/17/2019
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