Provider Demographics
NPI:1912186842
Name:DRAEGER, HEATHER BARRETT (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:BARRETT
Last Name:DRAEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:H
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:21 HIGHLAND AVE SE STE B
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2201
Mailing Address - Country:US
Mailing Address - Phone:540-982-8881
Mailing Address - Fax:540-982-0501
Practice Address - Street 1:21 HIGHLAND AVE SE STE B
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-2201
Practice Address - Country:US
Practice Address - Phone:540-982-8881
Practice Address - Fax:540-982-0501
Is Sole Proprietor?:No
Enumeration Date:2007-10-27
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.125548207V00000X
SCMMD.37827207V00000X
NC135385207V00000X
VA0101265525207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology