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Individual
TERESA HEGWOOD
Active
Individual
TERESA HEGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704302567
MI
163W00000X
Registered Nurse
Primary
848359
TX
363L00000X
Nurse Practitioner
4704302567
MI
363LF0000X
Family Nurse Practitioner
71014488A
IN
Other
Enumeration date
03/03/2016
Last updated
04/25/2025
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