Healthcare Provider Details

I. General information

NPI: 1003797747
Provider Name (Legal Business Name): ERIN HEGNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 SUNNY LN UNIT B
FERNLEY NV
89408-9294
US

IV. Provider business mailing address

625 SUNNY LN UNIT B
FERNLEY NV
89408-9294
US

V. Phone/Fax

Practice location:
  • Phone: 775-240-1806
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number103258
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: