MEDICARE: HEATHER ANN KLAWUHN 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11017309	FL

General Provider Information

NPI Number	:	1114259298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN KLAWUHN APRN

Provider Business Mailing Address
First Line	:	7306 CYPRESS GROVE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5508
Country	:	US
Telephone Number	:	352-239-5591
Fax Number	:

Provider Business Practice Location Address
First Line	:	7306 CYPRESS GROVE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5508
Country	:	US
Telephone Number	:	352-239-5591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	02/27/2026

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