Healthcare Provider Details

I. General information

NPI: 1578333233
Provider Name (Legal Business Name): HEATHER STETSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8895 N MILITARY TRL STE 301E
WEST PALM BEACH FL
33410-6220
US

IV. Provider business mailing address

8895 N MILITARY TRL STE 301E
WEST PALM BEACH FL
33410-6220
US

V. Phone/Fax

Practice location:
  • Phone: 561-531-7818
  • Fax:
Mailing address:
  • Phone: 561-531-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN9193131
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11030013
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: