Provider Demographics
NPI:1952187619
Name:LAUVER, HEATHER JANE (RN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JANE
Last Name:LAUVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 OLD NORWALK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-6423
Mailing Address - Country:US
Mailing Address - Phone:336-262-5443
Mailing Address - Fax:
Practice Address - Street 1:82 HERITAGE HILL RD APT D
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4617
Practice Address - Country:US
Practice Address - Phone:336-262-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT183193251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care