MS. HEIDI RUTH KALLESTAD ANP-C NPI 1457635633

NPI Information

NPI: 1457635633
Provider Name: MS. HEIDI RUTH KALLESTAD, ANP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
3050 REGENT BLVD STE 400
IRVING, TX
ZIP 75063
Phone: (214) 689-8067
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MS. Heidi Ruth Kallestad, ANP-C is an adult health nurse practitioner in Irving, TX. MS. Heidi Ruth Kallestad, ANP-C NPI is 1457635633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3050 REGENT BLVD STE 400
IRVING, TX
ZIP 75063-808
Phone: (214) 689-8067

The enumeration date for this NPI number is 10/5/2011 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	23483-A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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