Individual
TANYA MARIE HEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3501 S LOCUST ST, GRAND ISLAND, NE 68801-8853
(308) 381-5865
Mailing address
2803 CROSS POINT DR, GRAND ISLAND, NE 68803-9711
(308) 380-3989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1246
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025252100
—
NE
Enumeration date
08/25/2006
Last updated
07/08/2007
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