Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY A HEITKAMP, CDE
ActiveNutrition, Education · FARGO, ND
Registration Details
- NPI Number
- 1124043559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2006 (19.813788604706 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R11357 (ND)
Practice Information
- Address
-
1702 UNIVERSITY DR SFARGO, ND, 581034940Browse ND providers · Browse ZIP 58103
- Phone
- 7013643300
- Fax
- 7013648906
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| SHERRY MALY | RN | 1295743615 |
| RYAN T BOSCH | — | 1447529060 |
| PEGGY SCHAAN | CDE | 1659795433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.