NPI 1114148129 · live from the CMS NPI Registry
Jane L Heithoff, RN, CPNP
Nurse Practitioner, Pediatrics in Carroll, IA. National Provider Identifier 1114148129, active.
NPI record
| NPI | 1114148129 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 23751 Highway 30, Carroll, IA 51401 |
| Practice phone | 712-792-9266 |
| Mailing address | 23751 Highway 30, Po Box 427, Carroll, IA 51401 |
| Enumerated | May 1, 2007 |
| Last updated | March 18, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C-056332 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.