Provider Demographics
NPI:1114259298
Name:KLAWUHN, HEATHER ANN (APRN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:KLAWUHN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8538 STARLIGHT LOOP
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-1433
Mailing Address - Country:US
Mailing Address - Phone:352-239-5591
Mailing Address - Fax:
Practice Address - Street 1:8538 STARLIGHT LOOP
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-1433
Practice Address - Country:US
Practice Address - Phone:352-239-5591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11017309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily