Provider Demographics
NPI:1457130049
Name:URIBE, HEATHER (APRN CNM)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:URIBE
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:URIBE HEILMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AOPRN CNM
Mailing Address - Street 1:1580 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-2919
Mailing Address - Country:US
Mailing Address - Phone:952-856-0071
Mailing Address - Fax:
Practice Address - Street 1:1580 WHITE OAK DR
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-2919
Practice Address - Country:US
Practice Address - Phone:952-856-0071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN555367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife