Healthcare Provider Details

I. General information

NPI: 1114259298
Provider Name (Legal Business Name): HEATHER ANN KLAWUHN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7306 CYPRESS GROVE RD
ORLANDO FL
32819-5508
US

IV. Provider business mailing address

7306 CYPRESS GROVE RD
ORLANDO FL
32819-5508
US

V. Phone/Fax

Practice location:
  • Phone: 352-239-5591
  • Fax:
Mailing address:
  • Phone: 352-239-5591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11017309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: