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Individual

HEATHER L HAEGELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
3619 RICHARDSON SQUARE DR, SUITE 170, ARNOLD, MO 63010-6022
(636) 717-6776
(314) 525-4055
Mailing address
3619 RICHARDSON SQUARE DR, STE 170, ARNOLD, MO 63010-6022
(636) 717-6776
(314) 525-4055

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
142540
MO
363LF0000X
Family Nurse Practitioner
Primary
142540
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428734008
MO
Enumeration date
10/02/2006
Last updated
03/14/2017
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