Provider Demographics
NPI:1790069342
Name:HEGLAR, CAROL LYNNE (NP)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LYNNE
Last Name:HEGLAR
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Gender:F
Credentials:NP
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Mailing Address - Street 1:9735 KINCEY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9118
Mailing Address - Country:US
Mailing Address - Phone:704-414-2870
Mailing Address - Fax:704-414-2860
Practice Address - Street 1:1084 VINEHAVEN DR NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2438
Practice Address - Country:US
Practice Address - Phone:704-786-5131
Practice Address - Fax:704-782-8662
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2021-05-26
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Provider Licenses
StateLicense IDTaxonomies
NC5005014208800000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5005014OtherNP
NC273905550OtherNP CERTIFICATION # A1010095