Individual
GINA M HEDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9179912
FL
163WH0200X
Home Health Registered Nurse
33027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103417
RN LICENSE
WI
Enumeration date
12/27/2022
Last updated
12/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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