Provider Demographics
NPI:1043477011
Name:HEDQVIST, NANCY (RNFA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HEDQVIST
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1362 US HIGHWAY 395 N STE 102-88
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-7306
Mailing Address - Country:US
Mailing Address - Phone:530-318-4077
Mailing Address - Fax:
Practice Address - Street 1:1362 US HIGHWAY 395 N STE 102-88
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-7306
Practice Address - Country:US
Practice Address - Phone:530-318-4077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507306163WR0006X
NV24163163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant