| Guadalupe Nieto Hedrick, MD | |
|
445 March Ave, Suite A, Healdsburg, CA 95448-3383 | |
| (707) 433-8223 | |
| (707) 431-1071 |
| Full Name | Guadalupe Nieto Hedrick |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 445 March Ave, Healdsburg, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164417093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01066640A (Indiana) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Guadalupe Nieto Hedrick, MD Po Box 898, Windsor, CA 95492-0898 Ph: (707) 236-2266 | Guadalupe Nieto Hedrick, MD 445 March Ave, Suite A, Healdsburg, CA 95448-3383 Ph: (707) 433-8223 |
Damian Marsden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 445 March Ave, Healdsburg, CA 95448 Phone: 707-433-8223 Fax: 707-433-1071 | |
Dr. Ronald D. Siegemund, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 445 March Ave, Suite A, Healdsburg, CA 95448 Phone: 707-433-8223 Fax: 707-433-1071 | |
Seth Ammerman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 Fax: 707-385-2157 |