Individual provider · Type 1 NPI

Heidi Ruth Kallestad, ANP-C

Adult Health Nurse Practitioner · Irving, TX

NPI number 1457635633 Active

Practice location

3050 Regent Blvd Ste 400
Irving, TX 75063-5808

Mailing address

24306 E 3rd Ave
Liberty Lake, WA 99019-9656

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X23483-A (ID)

Adult Health Nurse Practitioner: Definition to come...

5 other providers at this address

Other adult health nurse practitioner providers in Irving

See all in Irving →

About NPI 1457635633

Heidi Ruth Kallestad, ANP-C's National Provider Identifier is 1457635633, issued on Oct 5, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Irving, TX. The record was last updated on Oct 5, 2011.