Heather Lalumondiere, RN
Individual provider Active NPI Registered Nurse · Park Hills, MO
NPI 1669876116 · NPPES record last updated Oct 14, 2014
Key facts
- NPI
- 1669876116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2013024126 (MO)
- Practice address
- 512 E Main St
Park Hills, MO 63601-2624 - Phone
- (573) 431-0554
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013024126 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2013024126 | MO | Yes |
Addresses
Primary practice location
512 E Main St
Park Hills, MO 63601-2624
Mailing address
PO Box 506
Park Hills, MO 63601-0506
Phone (573) 431-0554
Other providers in Park Hills, MO
- Amanda M Jones
- Arlene Jones
- Donna Joyce
- Caitlyn Keeler
- Gloria Diane Kochis
- Lbenholdings
- Lbenholdings
- Christin Lewis
- Lisa Michelle Long
- Tonya Monique Long
All providers in Park Hills, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.