MEDICARE: HEATHER CHILDRESS FNP-BC

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	363LF0000X	Family Nurse Practitioner	APRN11014371	FL
2	363LF0000X	Family Nurse Practitioner	0024177422	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801359450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER CHILDRESS FNP-BC

Provider Business Mailing Address
First Line	:	200 3RD AVE W STE 210
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-8633
Country	:	US
Telephone Number	:	941-792-0340
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 3RD AVE W STE 210
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-8633
Country	:	US
Telephone Number	:	941-792-0340
Fax Number	:

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

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	11/18/2021

Similar Medicare Providers

1811970726 — DR. M. MOHSIN SHAH M.D.
Practice Location Address:

200 3RD AVE W STE 200
BRADENTON, FL
34205-8633

Practice Phone: 941-794-3118
Practice Fax: 941-782-2017

1013111624 — DR. MICHAEL SEIJOON PARK MD
Practice Location Address:

200 3RD AVE W STE 200
BRADENTON, FL
34205-8633

Practice Phone: 941-794-3118
Practice Fax: 941-782-2017

1992071252 — DR. RICARDO DARIO GONZALEZ M.D.
Practice Location Address:

200 3RD AVE W STE 210
BRADENTON, FL
34205-8633

Practice Phone: 941-792-0340
Practice Fax: 941-794-2251

1821481615 — MR. WAYNE SEWARD JR. PA-C
Practice Location Address:

200 3RD AVE W STE 210
BRADENTON, FL
34205-8633

Practice Phone: 941-792-0340
Practice Fax:

1083150114 — FUO LLC
Practice Location Address:

200 3RD AVE W STE 210
BRADENTON, FL
34205-8633

Practice Phone: 941-792-0340
Practice Fax:

1326535873 — UPHEALTH LLC
Practice Location Address:

200 3RD AVE W STE 210
BRADENTON, FL
34205-8633

Practice Phone: 941-792-0340
Practice Fax: 941-794-2251

Directions to “ HEATHER CHILDRESS FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.