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NPI Code Detail

MEDICARE: CHRISTIE ANN VAN HECKE FNP-BC

MEDICARE:   CHRISTIE ANN VAN HECKE  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1272581MN
2163W00000XRegistered Nurse1272581MN
3363LF0000XFamily Nurse Practitioner2582MN

General Provider Information

NPI Number : 1215996244
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE ANN VAN HECKE FNP-BC
Provider Business Mailing Address
First Line : 425 7TH ST NW
Second Line :
City : CASS LAKE
State : MN
Zip : 56633-3360
Country : US
Telephone Number : 218-335-3200
Fax Number : 218-335-3327
Provider Business Practice Location Address
First Line : 425 7TH ST NW
Second Line :
City : CASS LAKE
State : MN
Zip : 56633-3360
Country : US
Telephone Number : 218-335-3200
Fax Number : 218-335-3327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 05/12/2022

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Directions to “ CHRISTIE ANN VAN HECKE FNP-BC” Practice Location

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