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NPI Code Detail

MEDICARE: JAMES HEGWOOD RN

MEDICARE:   JAMES  HEGWOOD  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse233646-30WI

General Provider Information

NPI Number : 1649112780
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES HEGWOOD RN
Provider Business Mailing Address
First Line : 6837 N BETHMAUR LN
Second Line :
City : GLENDALE
State : WI
Zip : 53209-2714
Country : US
Telephone Number : 414-807-8163
Fax Number :
Provider Business Practice Location Address
First Line : 10328 W VILLA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-2655
Country : US
Telephone Number : 414-248-5133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ JAMES HEGWOOD RN” Practice Location

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