Healthcare Provider Details

I. General information

NPI: 1295265312
Provider Name (Legal Business Name): HEATHER DOERR WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6303 BLUE LAGOON DR STE 400
MIAMI FL
33126-6040
US

IV. Provider business mailing address

5468 ROWE TRL
PACE FL
32571-9557
US

V. Phone/Fax

Practice location:
  • Phone: 201-564-5109
  • Fax: 240-201-1296
Mailing address:
  • Phone: 321-961-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberARNP9182274
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number8276
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number905994
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP9182274
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: