Provider Demographics
NPI:1720278682
Name:BARNETT, HEATHER L (RN, MSN, CNS)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:BARNETT
Suffix:
Gender:F
Credentials:RN, MSN, CNS
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:MAYMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4500 STEINER RANCH BLVD
Mailing Address - Street 2:APT. 406
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2301
Mailing Address - Country:US
Mailing Address - Phone:512-657-1463
Mailing Address - Fax:
Practice Address - Street 1:4500 STEINER RANCH BLVD
Practice Address - Street 2:APT. 406
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2301
Practice Address - Country:US
Practice Address - Phone:512-657-1463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720960364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health