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Individual

HEIDI L HODGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-7601
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9564
WI
363L00000X
Nurse Practitioner
R210974-7
MN
363LF0000X
Family Nurse Practitioner
9564
WI
363LN0000X
Neonatal Nurse Practitioner
9564
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100093089
WI
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
01/14/2013
Last updated
02/17/2025
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