| Doctor Name: | HOLLY A HEDGE |
| NPI Number: | 1043451412 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 3689 |
| Business Practice Address: | 600 N Westhaven Dr Oshkosh, WI - 549046926 |
| Business Phone Number: | 9202375000 |
| Business Fax Number: | 9202375001 |
| Mailing Address: | Po Box 8003, APPLETON |
| State: | WI |
| Postal Code: | 549128003 |
| Phone Number: | 9209963264 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2009 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3689 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |