Individual
TAKESHA DIANE HEDGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
30 MEDICAL CENTER BLVD, PROFESSIONAL OFFICE BUILDING 1, SUITE 305, UPLAND, PA 19013-3995
(610) 874-6448
Mailing address
1964 STERLING ST, PHILADELPHIA, PA 19138-2228
(267) 456-1502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144212
PA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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