Provider Demographics
NPI:1730271966
Name:HEDBERG, KATHLEEN WOOD (APRN)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:WOOD
Last Name:HEDBERG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:M
Other - Last Name:WOOD HEDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:16 HOSPITAL RD
Mailing Address - Street 2:SPEARE MEMORIAL HOSPITAL
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-1126
Mailing Address - Country:US
Mailing Address - Phone:603-536-1120
Mailing Address - Fax:603-536-2017
Practice Address - Street 1:16 HOSPITAL RD
Practice Address - Street 2:SMH DBA: WOUND CARE & HYPERBARIC MEDICINE
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1126
Practice Address - Country:US
Practice Address - Phone:603-536-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0439812303363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH04398121OtherRN LICENSE
NH0439812303OtherARNP FNP LICENSE
NH0439812303OtherARNP FNP LICENSE
NH04398121OtherRN LICENSE