Individual
MICHELE HEDDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
793 W STATE ST, COLUMBUS, OH 43222-1551
(330) 221-5017
Mailing address
5279 WOODBRIDGE AVE, POWELL, OH 43065-8603
(614) 336-1753
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.05281-NP
OH
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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