Individual
HEIDI LEANN HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4189
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0991674-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
CR000774
SD
367500000X
Certified Registered Nurse Anesthetist
R37464
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97105279
—
CO
Enumeration date
03/26/2012
Last updated
03/05/2025
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