Doctor Name: | MR. STEPHEN DARRELL HEGLUND |
NPI Number: | 1144252883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | ARNP2826702 |
Business Practice Address: | 13695 Us Highway 1 Sebastian, FL - 329583230 |
Business Phone Number: | 7725812045 |
Business Fax Number: | |
Mailing Address: | 1325 19th Ave Sw, VERO BEACH |
State: | FL |
Postal Code: | 329626168 |
Phone Number: | 7727788236 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP2826702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |