Healthcare Provider Details

I. General information

NPI: 1851920482
Provider Name (Legal Business Name): HEATHER MCLUEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 SW WHITE BIRCH CIR
ANKENY IA
50023-7226
US

IV. Provider business mailing address

PO BOX 155
ALTOONA IA
50009-0155
US

V. Phone/Fax

Practice location:
  • Phone: 515-745-5324
  • Fax:
Mailing address:
  • Phone: 877-637-8387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number142928
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: