Individual
MEGAN G HEESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
804 KENYON RD, SUITE F, FORT DODGE, IA 50501-5742
(515) 576-3100
(515) 576-3104
Mailing address
804 KENYON RD, SUITE F, FORT DODGE, IA 50501-5742
(515) 576-3100
(515) 576-3104
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C101642
IA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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