Healthcare Provider Details

I. General information

NPI: 1417901125
Provider Name (Legal Business Name): SHERYL MARIE HEATH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9513 NW SR 45
HIGH SPRINGS FL
32643
US

IV. Provider business mailing address

9513 NW SR 45
HIGH SPRINGS FL
32643
US

V. Phone/Fax

Practice location:
  • Phone: 386-451-2381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP3061512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: