Individual
LAURA A. HEDIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2230 S GLENSTONE AVE, SPRINGFIELD, MO 65804-3255
(417) 820-7278
(417) 820-4068
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
080311
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500410007
MARIAN CENTER PROVIDER
—
01
—
PENDING
AR BLUE SHIELD
AR
05
—
PENDING
—
MO
Enumeration date
07/27/2007
Last updated
03/12/2015
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