MEDICARE: HEATHER SIOBHAN NEWHARD CRNP-F

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	207Q00000X	Family Medicine Physician	R194913	MD

General Provider Information

NPI Number	:	1497277149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER SIOBHAN NEWHARD CRNP-F

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE STE 201
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-451-9091
Fax Number	:	410-451-9094

Provider Business Practice Location Address
First Line	:	137 MITCHELLS CHANCE RD STE 180
Second Line	:
City	:	EDGEWATER
State	:	MD
Zip	:	21037-2793
Country	:	US
Telephone Number	:	410-224-8220
Fax Number	:	410-367-2118

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

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	09/16/2025

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