Individual
HEIDI LOUISE PASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
291 SOUTHHALL LN, SUITE201, MAITLAND, FL 32751-7274
(407) 667-0444
Mailing address
291 SOUTHHALL LN, SUITE201, MAITLAND, FL 32751-7274
(407) 667-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-92369-071
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9379024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
05/04/2009
Last updated
03/17/2015
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