Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annette L Headley MD LLC

Organization Dermatology Physician · NPI 1568772242

Annette L Headley MD LLC is a Dermatology Physician in Mystic, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 Whitehall Ave
Mystic, CT 06355-1978
Phone: (860) 536-1354
Fax: (860) 536-7043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 034245 (CT)

Record details

NPI number1568772242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Headley — Proprietor/Physician · (860) 536-1354
NPI enumeratedOctober 15, 2010
Last updated in NPPESNovember 9, 2010
Mailing address56 Whitehall Ave, Mystic, CT 06355-1978

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