Provider Demographics
NPI:1841660180
Name:TVINNEREIM, HEATHER (FNP-C)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:TVINNEREIM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 MATHIAS ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-1729
Mailing Address - Country:US
Mailing Address - Phone:512-923-1417
Mailing Address - Fax:
Practice Address - Street 1:1302 MATHIAS ST
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-1729
Practice Address - Country:US
Practice Address - Phone:512-923-1417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily