Healthcare Provider Details

I. General information

NPI: 1871924639
Provider Name (Legal Business Name): HEATHER LUZIER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2013
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 S KANNER HWY
STUART FL
34994-7204
US

IV. Provider business mailing address

1815 S KANNER HWY
STUART FL
34994-7204
US

V. Phone/Fax

Practice location:
  • Phone: 772-288-2999
  • Fax: 772-288-2992
Mailing address:
  • Phone: 772-288-2999
  • Fax: 772-288-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN220635
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: