Healthcare Provider Details

I. General information

NPI: 1093184392
Provider Name (Legal Business Name): WANDA HEDIAN MSN,APRN,FNP-C,PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WOODMONT DR
POTTSTOWN PA
19465-8611
US

IV. Provider business mailing address

101 WOODMONT DR
POTTSTOWN PA
19465-8611
US

V. Phone/Fax

Practice location:
  • Phone: 484-206-5428
  • Fax:
Mailing address:
  • Phone: 551-206-7665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00580800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028297
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP023302
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: