Individual
MRS. HEATHER LEA MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 PINELLAS ST STE 300, CLEARWATER, FL 33756-3314
(727) 447-8100
(727) 461-2603
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPARTMENT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3246542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111536500
—
FL
Enumeration date
06/21/2006
Last updated
10/27/2022
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