Individual
HEIDI M WAUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
255 W LUCAS ST, MARENGO, IA 52301-1331
(319) 741-6798
(319) 741-6791
Mailing address
255 W LUCAS ST, MARENGO, IA 52301-1331
(319) 741-6798
(319) 741-6791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104766
IA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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