Individual
MRS. SHERYL HILLEARY HEINICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-1161
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP308-1062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009811000
—
FL
Enumeration date
04/19/2006
Last updated
11/08/2013
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