Krystine Marie Hemmen, RDH

Individual provider Active NPI Dental Hygienist · Willows, CA

NPI 1013604149 · NPPES record last updated Apr 19, 2023

Key facts

NPI
1013604149
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
34241 (CA)
Practice address
207 N Butte St
Willows, CA 95988-2803
Phone
(530) 934-4641
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
34241CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 34241 CA Yes

Addresses

Primary practice location

207 N Butte St
Willows, CA 95988-2803

Mailing address

207 N Butte St
Willows, CA 95988-2803

Electronic endpoints

TypeEndpointUseAffiliation
Other URL krystine.hemmen@nvih.org Northern Valley Indian Health, Inc

Other providers in Willows, CA

All providers in Willows, CA · Dental Hygienist in California

Sources for this page

Verify at the official NPI Registry.