Healthcare Provider Details

I. General information

NPI: 1932076148
Provider Name (Legal Business Name): HEATHER LEE HIMLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WELSH POOL RD STE 210
EXTON PA
19341-1321
US

IV. Provider business mailing address

211 WELSH POOL RD STE 210
EXTON PA
19341-1321
US

V. Phone/Fax

Practice location:
  • Phone: 484-749-7737
  • Fax:
Mailing address:
  • Phone: 484-202-0751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP034149
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: