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Physician Compare National (NPI:1699075929)

HEALTHCARE PROVIDER: HIEDI CHRISTINE LANE ARNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1699075929
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9234328329
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110105000239
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STJARNA LANE
Individual professional last name
Provider First Name HIEDI
Individual professional first name
Provider Middle Name C
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 610 10TH ST
Group Practice or individual's line 1 address
City PERRY
Group Practice or individual's city
State IA
Group Practice or individual's state
Zip Code 502202221
Group Practice or individual's zip code (9 digits when available)
Phone Number 5154657581
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 161310
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ADAIR COUNTY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 161327
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 DAVIS COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 161340
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 DECATUR COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 161304
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 CHI HEALTH - MERCY CORNING
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 161373
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 RINGGOLD COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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