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Nicole Heavey, ARNP

Nurse Practitioner, Family in Orlando, FL. Individual provider (NPI-1).

NPI number1003379009
StatusActive
Last updated in NPPESApr 21, 2024

Details

NPI
1003379009
Entity type
Individual (NPI-1)
Name
Nicole Heavey
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2019
Certification date
Apr 21, 2024
Last updated
Apr 21, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11002058FLYes

Practice location

579 Edgerly Pl
Orlando, FL 32806-4712

Phone 321-698-7216

Mailing address

6388 Silver Star Rd Ste 2h
Orlando, FL 32818-3235

Phone 135-220-5914

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Orlando, FL

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