Provider Demographics
NPI:1073674396
Name:HEDINGER, DANIEL L II (FNP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:HEDINGER
Suffix:II
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-3240
Mailing Address - Country:US
Mailing Address - Phone:812-996-5750
Mailing Address - Fax:
Practice Address - Street 1:695 W 2ND ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3240
Practice Address - Country:US
Practice Address - Phone:812-996-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002278A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00371299OtherMEDICARE RAILROAD CARRIER
IN000000541036OtherANTHEM BC/BS
IN200856550Medicaid
IN000000541036OtherANTHEM BC/BS
IN200856550Medicaid