Provider Demographics
NPI:1598045437
Name:HEDBERG, NANCY JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JEAN
Last Name:HEDBERG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:JEAN
Other - Last Name:STROUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4603 W 113TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7820
Mailing Address - Country:US
Mailing Address - Phone:303-888-4342
Mailing Address - Fax:
Practice Address - Street 1:10065 E HARVARD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5968
Practice Address - Country:US
Practice Address - Phone:303-614-1493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO117503163WC0200X, 163WL0100X, 163WM0102X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical