| Doctor Name: | BROOKE RAE HEITKAMP HILLS |
| NPI Number: | 1144662719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R187809-5 |
| Business Practice Address: | 712 S Cascade St Fergus Falls, MN - 565372913 |
| Business Phone Number: | 2187392221 |
| Business Fax Number: | |
| Mailing Address: | 406 18th Ave N, WAHPETON |
| State: | ND |
| Postal Code: | 580753320 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2013 |
| NPI Last Update Date: | 07/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R187809-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |