| Organization Name: | HEATHER VANGELDREN RNFA SERVICES INC |
| NPI Number: | 1023401023 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER VANGELDREN (PHYSICIANS FIRST ASSISANT OPERATIVE) |
| Mailing Address: | 7615 Woodland Creek Ln Lake Worth |
| State: | FL US |
| Postal Code: | 334676522 |
| Phone Number: | 9542278224 |
| Fax Number: | 9542277442 |
| NPI Enumeration Date: | 03/15/2015 |
| NPI Last Update Date: | 03/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | RN9270620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |