Individual
RENAE DAWN HEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4440 S WASHINGTON ST- ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201-7245
(701) 732-7000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R37418
ND
Other
Enumeration date
06/27/2019
Last updated
10/02/2020
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