Healthcare Provider Details

I. General information

NPI: 1407312333
Provider Name (Legal Business Name): HEATHER SAXBY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13710 ST FRANCIS BLVD
MIDLOTHIAN VA
23114-3267
US

IV. Provider business mailing address

PO BOX 639970
CINCINNATI OH
45263-9970
US

V. Phone/Fax

Practice location:
  • Phone: 804-423-5050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0024177314
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024177314
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: