Petrovich, Heather Diane

Petrovich, Heather Diane is an individual health care provider with primary practice located at 2776 Cleveland Ave #802, Fort Myers FL 33901-5864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petrovich, Heather Diane can be contacted via phone (239) 336-6174.

Contact Information

Primary practice address
2776 Cleveland Ave #802 Fort Myers FL 33901-5864
Phone: (239) 336-6174
Fax: (239) 335-6607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3088822 Florida

Profile Details

NPI number 1336121599
LBN Legal business name Petrovich, Heather Diane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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