| Doctor Name: | KRISTEN J HEFFERN |
| NPI Number: | 1013912559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 34 |
| Business Practice Address: | 901 Montgomery St Decorah, IA - 521012325 |
| Business Phone Number: | 5633822911 |
| Business Fax Number: | 5633825458 |
| Mailing Address: | 901 Montgomery St, DECORAH |
| State: | IA |
| Postal Code: | 521012325 |
| Phone Number: | 5633822911 |
| Fax Number: | 5633825458 |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 12/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 34 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |