Healthcare Provider Details

I. General information

NPI: 1437044401
Provider Name (Legal Business Name): DR. HEATHER VREELAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 38TH AVE W APT 412
BRADENTON FL
34205-5077
US

IV. Provider business mailing address

2200 38TH AVE W APT 412
BRADENTON FL
34205-5077
US

V. Phone/Fax

Practice location:
  • Phone: 720-608-1918
  • Fax:
Mailing address:
  • Phone: 720-608-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: