Individual
HEATHER R TEMPEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17325 PAGONIA RD, CLERMONT, FL 34711-6008
(407) 905-6014
(407) 636-7808
Mailing address
17325 PAGONIA RD, CLERMONT, FL 34711-6008
(407) 905-6014
(407) 636-7808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN539064
PA
363LF0000X
Family Nurse Practitioner
11005743
FL
363LF0000X
Family Nurse Practitioner
SP017779
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11005743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105471000
—
FL
Enumeration date
07/19/2017
Last updated
08/23/2024
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