Individual
HEATHER PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 2ND AVE NW, WEST FARGO, ND 58078-1317
(218) 356-2000
Mailing address
2028 2ND AVE NW, WEST FARGO, ND 58078-1317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12846
ND
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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