Individual
MRS. HEATHER M HITESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1351 W. CENTRAL PARK, SUITE 3300, DAVENPORT, IA 52804-1889
(563) 421-0430
(563) 421-0439
Mailing address
PO BOX 4028, ROCK ISLAND, IL 61204-4028
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H120536
IA
Other
Enumeration date
08/11/2016
Last updated
04/15/2021
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