Doctor Name: | HEIDI MARIE HOPPE |
NPI Number: | 1881074367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, ACNS |
License Number: | CNS 0333 |
Business Practice Address: | 401 Prairie Ave Ne Staples, MN - 564793201 |
Business Phone Number: | 2188948205 |
Business Fax Number: | 2188948218 |
Mailing Address: | 42935 Quartz Rd, STAPLES |
State: | MN |
Postal Code: | 564795169 |
Phone Number: | 3204935487 |
Fax Number: | 2188948205 |
NPI Enumeration Date: | 06/01/2015 |
NPI Last Update Date: | 06/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | CNS 0333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |