Individual
MS. HEATHER KAY MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8960 COLONIAL CENTER DR STE 302, FORT MYERS, FL 33905-7810
(239) 343-9700
(239) 343-9699
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9700
(239) 343-9699
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704253434
MI
363L00000X
Nurse Practitioner
4704253434
MI
363L00000X
Nurse Practitioner
ARNP9426987
FL
363LA2100X
Acute Care Nurse Practitioner
4704253434
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9426987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016896100
—
FL
Enumeration date
07/04/2011
Last updated
03/30/2021
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