| NPI | 1841422151 |
|---|---|
| Former Name | HEIDI RENAE FAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R-165141-6) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN R-165141-6) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN R-16141-6) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2014-04-16 |