Doctor Name: | HEIDI SUE DEUTSCHLANDER |
NPI Number: | 1588843437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CNP |
License Number: | R134255O |
Business Practice Address: | 331 Highway 65 S Mora, MN - 550511899 |
Business Phone Number: | 3206791313 |
Business Fax Number: | |
Mailing Address: | 12398 White Oak Rd, PINE CITY |
State: | MN |
Postal Code: | 550635466 |
Phone Number: | 3204965771 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | R134255O |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |