Heather M Hitesman, ARNP
Nurse Practitioner, Acute Care in Davenport, IA. Individual provider (NPI-1).
NPI number1992259642
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1992259642
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather M Hitesman
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2016
- Certification date
- Apr 15, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | H120536 | IA | Yes |
Practice location
1351 W. Central ParkSuite 3300
Davenport, IA 52804-1889
Phone 563-421-0430 · Fax 563-421-0439
Mailing address
Po Box 4028Rock Island, IL 61204-4028
Phone 563-355-9200 · Fax 563-355-3419
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