Doctor Name: | MRS. HEATHER MAUREEN HOLDER |
NPI Number: | 1083628028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 2509602 |
Business Practice Address: | 1400 E. Oakland Park Blvd. Ste 210 Oakland Park, FL - 333344400 |
Business Phone Number: | 9545616222 |
Business Fax Number: | 9549907650 |
Mailing Address: | 2242 Sw 130th Ter, MIRAMAR |
State: | FL |
Postal Code: | 330272656 |
Phone Number: | 9549933594 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 2509602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |