Provider Demographics
NPI:1780088773
Name:VEATCH, HEATHER D (RN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:VEATCH
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3701 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-1711
Mailing Address - Country:US
Mailing Address - Phone:941-746-5840
Mailing Address - Fax:941-745-3591
Practice Address - Street 1:3701 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-1711
Practice Address - Country:US
Practice Address - Phone:941-746-5840
Practice Address - Fax:941-745-3591
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN2660792163WN0300X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WN0300XNursing Service ProvidersRegistered NurseNephrology