Provider Demographics
NPI:1467113654
Name:HUDDY, HEATHER (APRN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HUDDY
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 1:3425 UNIVERSITY PKWY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-4271
Mailing Address - Country:US
Mailing Address - Phone:941-746-7507
Mailing Address - Fax:941-746-3201
Practice Address - Street 1:3425 UNIVERSITY PKWY UNIT 102
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-4271
Practice Address - Country:US
Practice Address - Phone:941-746-7507
Practice Address - Fax:941-746-3201
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017727363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health