NPI 1447765797 · live from the CMS NPI Registry
Heather Alison Brekke, PA-C, ATC
Physician Assistant in Wahpeton, ND. National Provider Identifier 1447765797, active.
NPI record
| NPI | 1447765797 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 332 2nd Ave N, Wahpeton, ND 58075 |
| Practice phone | 701-642-7000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | December 8, 2017 |
| Last updated | August 17, 2022 |
| Sole proprietor | No |
| Other names | Heather Bates |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 559-14 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.