Individual provider · Type 1 NPI
Shanan Nicole Hesseldenz, AGNP
Gerontology Nurse Practitioner · Alton, IL
NPI number
1467306431
Active
Practice location
2 Memorial Dr Ste 122
Alton, IL 62002-6723
Fax (618) 433-9274
Mailing address
2 Memorial Dr Ste 102
Alton, IL 62002-6723
Other practice locations
- 11125 Dunn Rd Ste 204, St. Louis, MO 63136-6188 · (314) 839-5522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2026008712 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209034609 (IL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1467306431
Shanan Nicole Hesseldenz, AGNP's National Provider Identifier is 1467306431, issued on Feb 25, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Alton, IL. The record was last updated on Apr 29, 2026.