Individual
HEATHER HEDGEPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 STATE ST FL 1, NEW ALBANY, IN 47150-4990
(812) 949-3242
Mailing address
PO BOX 950125, LOUISVILLE, KY 40295-0125
(812) 949-3242
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71006945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001075576
ANTHEM
—
05
—
300029752
—
IN
05
—
7100447510
—
KY
Enumeration date
03/10/2017
Last updated
08/28/2019
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