Individual
ANNI KRISTINE HEGELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BROOKHAVEN DR, SOUND BEACH, NY 11789-1214
(631) 338-2894
Mailing address
11 BROOKHAVEN DR, SOUND BEACH, NY 11789-1214
(631) 338-2894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6323511
NY
163WP0200X
Pediatric Registered Nurse
Primary
632351-1
NY
Other
Enumeration date
10/20/2010
Last updated
11/12/2010
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