Provider Demographics
NPI:1730600735
Name:MORDEN, HEATHER M (ARNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:MORDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:M
Other - Last Name:NANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1706 BRADY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-4708
Mailing Address - Country:US
Mailing Address - Phone:563-400-2801
Mailing Address - Fax:563-202-5312
Practice Address - Street 1:1706 BRADY ST STE 200
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-4708
Practice Address - Country:US
Practice Address - Phone:563-400-2801
Practice Address - Fax:563-202-5312
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA130266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAA130266OtherSTATE ARNP LICENSE