MEDICARE: WHOLE HEALTH HEALING PRACTICE PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1508700691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE HEALTH HEALING PRACTICE PLLC

Provider Business Mailing Address
First Line	:	1525 SOFTSHELL ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-7515
Country	:	US
Telephone Number	:	407-247-1286
Fax Number	:	949-849-5451

Provider Business Practice Location Address
First Line	:	1525 SOFTSHELL ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-7515
Country	:	US
Telephone Number	:	407-247-1286
Fax Number	:	949-849-5451

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	HEATHER ZEALY
Credential	:	ARNP
Telephone Number	:	407-247-1286

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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