Individual provider · Type 1 NPI

Heather Pederson

Licensed Practical Nurse · West Fargo, ND

NPI number 1992646251 Active

Practice location

2028 2nd Ave NW
West Fargo, ND 58078-1317

Call (218) 356-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL12846 (ND)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

26 other providers at this address

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About NPI 1992646251

Heather Pederson's National Provider Identifier is 1992646251, issued on Apr 2, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in West Fargo, ND. The record was last updated on Apr 2, 2026.