Provider Demographics
NPI:1487324703
Name:WIGINGTON, HEDDY (FDN)
Entity type:Individual
Prefix:
First Name:HEDDY
Middle Name:
Last Name:WIGINGTON
Suffix:
Gender:F
Credentials:FDN
Other - Prefix:
Other - First Name:HEDDY
Other - Middle Name:
Other - Last Name:HERRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4425 W WADLEY AVE STE A-230
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5330
Mailing Address - Country:US
Mailing Address - Phone:432-559-3550
Mailing Address - Fax:
Practice Address - Street 1:4425 W WADLEY AVE STE A-230
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5330
Practice Address - Country:US
Practice Address - Phone:806-589-1582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach