Provider Demographics
NPI:1689066532
Name:CRAIG, HEATHER A (APRN, PMHNP-C)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:CRAIG
Suffix:
Gender:F
Credentials:APRN, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6911 SE TWIN OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-4733
Mailing Address - Country:US
Mailing Address - Phone:772-285-9767
Mailing Address - Fax:
Practice Address - Street 1:945 SW MARTIN DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2815
Practice Address - Country:US
Practice Address - Phone:772-254-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9208573363LA2200X
FLAPRN9208573363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health