Organization
HEARTLAND HEARING PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE BRAKKE AUD (AUDIOLOGIST)
(701) 430-1017
Entity
Organization
Contact information
Practice address
3139 BLUE STEM DR STE 108, WEST FARGO, ND 58078-8060
(701) 639-4595
Mailing address
3139 BLUESTEM DR STE 108, WEST FARGO, ND 58078-8060
(701) 639-4595
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
989
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023297348
—
MN
05
—
1458557
—
ND
Enumeration date
12/08/2016
Last updated
04/11/2026
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