MEDICARE: HEATHER A. CRAIG APRN, PMHNP-C

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	363LA2200X	Adult Health Nurse Practitioner	ARNP9208573	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9208573	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1689066532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER A. CRAIG APRN, PMHNP-C

Provider Business Mailing Address
First Line	:	6911 SE TWIN OAKS CIR
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-4733
Country	:	US
Telephone Number	:	772-285-9767
Fax Number	:

Provider Business Practice Location Address
First Line	:	945 SW MARTIN DOWNS BLVD
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2815
Country	:	US
Telephone Number	:	772-254-4347
Fax Number	:

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

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	09/20/2025

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