Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER RUTH EDGREN
Active Sole ProprietorHEATHER RUTH EDGREN is a Podiatric Surgery healthcare provider located in BIG LAKE, Alaska. NPI 1790394914 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · BIG LAKE, AK
Registration Details
- NPI Number
- 1790394914
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2020 (6.0588101708887 yrs)
- Last Updated
- Jul 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
13784 W AIRIGIN DRBIG LAKE, AK, 99652Browse AK providers · Browse ZIP 99652
- Phone
- 9073151517
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.