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NPI Code Detail

MEDICARE: DR. HEATHER MAUREEN BRATHWAITE APRN

MEDICARE: DR. HEATHER MAUREEN BRATHWAITE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP2509602FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083628028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER MAUREEN BRATHWAITE APRN
Provider Business Mailing Address
First Line : 3015 N OCEAN BLVD STE C101
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-7300
Country : US
Telephone Number : 754-270-6322
Fax Number : 754-270-6321
Provider Business Practice Location Address
First Line : 3015 N OCEAN BLVD STE C101
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-7300
Country : US
Telephone Number : 754-270-6322
Fax Number : 754-270-6321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 11/21/2025

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