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Contact Information

HEATHER A THEADERMAN, RN
6500 LONGLEY LN
RENO, NV89511-2632
 Phone: 775-799-7320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
 

Gastroenterology

163WG0100X
Indicates primary specialty

NPI Profile & details for HEATHER A THEADERMAN · (Female)

NPI # 1518859149
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/17/2025
Last updated 07/17/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 041519007
  • NV License # 863800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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