Individual
GWEN HEDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
168 LINCOLN AVE, SYRACUSE, NY 13204-4116
(315) 218-6492
Mailing address
6312 N MANLIUS RD, KIRKVILLE, NY 13082-9323
(315) 664-5301
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
566684
NY
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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