Individual
CHETIA HEGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 SIRIUS CT, SEWELL, NJ 08080-2028
(267) 800-8710
Mailing address
45 SIRIUS CT, SEWELL, NJ 08080-2028
(267) 800-8710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LPN096438
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43169175
—
NJ
Enumeration date
07/13/2021
Last updated
07/13/2021
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