Individual
MRS. JUDITH ANN HIDEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3768 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-8502
(330) 533-8490
(330) 533-8783
Mailing address
3768 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-8502
(330) 533-8490
(330) 533-8783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP01201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2326950
—
OH
01
—
P00144186
RR MEDICARE
OH
Enumeration date
12/27/2005
Last updated
07/27/2010
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