Individual
ALICIA DORIS HEUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(712) 213-8663
(712) 213-8020
Mailing address
1755 510TH ST, ALBERT CITY, IA 50510-7601
(712) 299-5042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A163835
IA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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