Provider Demographics
NPI:1104123298
Name:SAARINEN, HEIDI L (NP)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:L
Last Name:SAARINEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:L
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2801 UNIVERSITY DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6029
Mailing Address - Country:US
Mailing Address - Phone:701-234-5673
Mailing Address - Fax:701-234-7195
Practice Address - Street 1:2801 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6029
Practice Address - Country:US
Practice Address - Phone:701-234-5673
Practice Address - Fax:701-234-7195
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR31336363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH400105682Medicare PIN
MNH400105687Medicare PIN