Healthcare Provider Details

I. General information

NPI: 1447173265
Provider Name (Legal Business Name): HEATHER ANNE BAHR CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER JONES

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9021 PARK ROYAL DR
FORT MYERS FL
33908-9617
US

IV. Provider business mailing address

7565 W VILLAGE CREST DR
MADISON WI
53719-3296
US

V. Phone/Fax

Practice location:
  • Phone: 239-432-5858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11049681
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: