Heather Ann Czywczynski, FNP
Nurse Practitioner in Bemidji, MN. Individual provider (NPI-1).
NPI number1285920587
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1285920587
- Entity type
- Individual (NPI-1)
- Name
- Heather Ann Czywczynski
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2011
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7419 | MN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 7419 | MN |
Practice location
1233 34th St NwBemidji, MN 56601-5112
Phone 218-333-5522
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
1300 Anne St Nw
Bemidji, MN 56601-5103
Bemidji, MN 56601-5103
Phone 218-751-9746
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