Provider Demographics
NPI:1689396517
Name:SARTIN, HEATHER JANINE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JANINE
Last Name:SARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 SOUTHEAST 16TH MULBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5731
Mailing Address - Country:US
Mailing Address - Phone:570-262-7110
Mailing Address - Fax:
Practice Address - Street 1:8900 SOUTHEAST 16TH MULBERRY LANE
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5731
Practice Address - Country:US
Practice Address - Phone:570-262-7110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN332828L163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management