Individual
MS. NANCY JEAN HENGEVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.
Contact information
Practice address
300 3RD AVE SE, SUITE 201, ROCHESTER, MN 55904-4619
(507) 286-1227
(507) 281-2589
Mailing address
300 3RD AVE SE, SUITE 201, ROCHESTER, MN 55904-4619
(507) 286-1227
(507) 281-2589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1442
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111791
UCARE
MN
01
—
2H167HE
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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