Provider Demographics
NPI:1508476854
Name:DREWES, HEATHER DENISE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DENISE
Last Name:DREWES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:DENISE
Other - Last Name:DREWES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-4286
Mailing Address - Fax:
Practice Address - Street 1:1125 W HIGHWAY 30 FL 2
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-5004
Practice Address - Country:US
Practice Address - Phone:225-765-4286
Practice Address - Fax:225-765-5976
Is Sole Proprietor?:No
Enumeration Date:2020-08-02
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP211797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA211797OtherSTATE LICENSE