Provider Demographics
NPI:1700038783
Name:SPIEGEL, HEATHER M (APN-C)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 LINDSEY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1533
Mailing Address - Country:US
Mailing Address - Phone:732-821-7260
Mailing Address - Fax:
Practice Address - Street 1:401 W. KENNEDY BLVD
Practice Address - Street 2:UNIVERSITY OF TAMPA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-253-6250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00173300363LF0000X
FLAPRN9463501363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily