IndividualActive
Becky Heidotten
NPI 1609223742 · Certified Registered Nurse Anesthetist · Rolla, MO
Provider details
- NPI number
- 1609223742
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2016012209 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 458-7879
Approximate (ZIP-level) locationGet directions
Mailing address
10 Eldorado Dr
Florissant, MO 63031-5317
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.