NPI 1609121508

Heather Dejarnett

Practitioner Advanced Practice Midwife Stillwater, MN

Practice location

Address: 5640 Memorial Ave N Suite B, Stillwater, MN 55082-2166
Phone: (651) 430-1880
Mailing address: 11133 Sweetwater Path, Woodbury, MN 55129-5293

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 12608 (MN)

Other Advanced Practice Midwife providers in Minnesota →

Registry record

NPI: 1609121508
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2012
Record last updated: 17 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.