| Doctor Name: | HEATHER ANN NAYLOR |
| NPI Number: | 1134499783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, MSN, CPNP |
| License Number: | 165984-5 |
| Business Practice Address: | 200 University Ave E St. Paul, MN - 551019023 |
| Business Phone Number: | 8007194040 |
| Business Fax Number: | |
| Mailing Address: | 1410 Creekwood Dr, NEW RICHMOND |
| State: | WI |
| Postal Code: | 540172580 |
| Phone Number: | 6513298035 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2012 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 165984-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |