HEIDI RUTH KALLESTAD

IRVING, TX
NPI1457635633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: ID  23483-A)
Enumeration Date2011-10-05
Last Update Date2011-10-05
Business Address
Ms. HEIDI RUTH KALLESTAD ANP-C
3050 REGENT BLVD STE 400
IRVING, TX 75063-5808
Phone number: 214-689-8067
Mailing Address
Ms. HEIDI RUTH KALLESTAD ANP-C
24306 E 3RD AVE
LIBERTY LAKE, WA 99019-9656
Phone number: 206-999-8229