Individual provider · Type 1 NPI

Breanna Heidecker

Specialist · Alexandria, MN

NPI number 1508499518 Active

Practice location

512 30th Ave E Ste 100
Alexandria, MN 56308-5096

Call (320) 762-5411 Map

Fax (320) 762-0829

Mailing address

891 Belsly Blvd
Moorhead, MN 56560-5055

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508499518

Breanna Heidecker's National Provider Identifier is 1508499518, issued on Feb 18, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Alexandria, MN. The record was last updated on Feb 18, 2020.