MEDICARE: SHERYL MARIE HEATH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP3061512	FL

General Provider Information

NPI Number	:	1417901125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL MARIE HEATH ARNP

Provider Business Mailing Address
First Line	:	9513 NW SR 45
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9513 NW SR 45
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643
Country	:	US
Telephone Number	:	386-451-2381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	01/18/2019

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