Individual
CAROLE LEIGH HEGEDTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2631 US 11, NICHOLSON, PA 18446-0591
(570) 942-6707
(570) 942-6708
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP020520
PA
363L00000X
Nurse Practitioner
Primary
SP020520
PA
Other
Enumeration date
08/16/2019
Last updated
09/19/2022
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