Individual
SHANAN NICOLE HESSELDENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2 MEMORIAL DR STE 122, ALTON, IL 62002-6723
(618) 462-6612
(618) 433-9274
Mailing address
2 MEMORIAL DR STE 102, ALTON, IL 62002-6723
(618) 462-6612
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
2026008712
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
209034609
IL
Other
Enumeration date
02/25/2026
Last updated
04/29/2026
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