Provider Demographics
NPI:1023588456
Name:HEJNI, GALA
Entity type:Individual
Prefix:
First Name:GALA
Middle Name:
Last Name:HEJNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10341 HERITAGE BAY BLVD UNIT 1916
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-5205
Mailing Address - Country:US
Mailing Address - Phone:315-941-9134
Mailing Address - Fax:
Practice Address - Street 1:10341 HERITAGE BAY BLVD UNIT 1916
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-5205
Practice Address - Country:US
Practice Address - Phone:315-941-9134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9414610163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse