Individual
MASON HIEDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 BISHOPSGATE TER, HENDERSON, NV 89074-6109
(702) 468-4085
Mailing address
8 BISHOPSGATE TER, HENDERSON, NV 89074-6109
(702) 468-4085
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
821427
NV
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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