Individual
HEATHER LYNN LETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
12500 N DALE MABRY HWY STE B, TAMPA, FL 33618-2809
(813) 712-5702
(813) 377-1005
Mailing address
13801 BRUCE B DOWNS BLVD STE 101, TAMPA, FL 33613-3911
(813) 978-1500
(813) 978-1210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9205170
FL
363LF0000X
Family Nurse Practitioner
ARNP9205170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008654200
—
FL
01
—
Y0C2J
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/11/2012
Last updated
04/08/2024
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