Provider Demographics
NPI:1467253906
Name:BERNARD, HEATHER (RNFA, RN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BERNARD
Suffix:
Gender:
Credentials:RNFA, RN
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:PRYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA, RN
Mailing Address - Street 1:601 ANGELICA PL
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2944
Mailing Address - Country:US
Mailing Address - Phone:813-438-0956
Mailing Address - Fax:
Practice Address - Street 1:9330 US 301 S
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-6300
Practice Address - Country:US
Practice Address - Phone:813-471-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9420695163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant