Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9454637 | FL |
N | 363L00000X | Nurse Practitioner | RN280041L | PA |
N | 363LN0000X | Nurse Practitioner - Neonatal | RN280041L | PA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN280041L | PA |
NPI | 1174608251 |
---|---|
Provider Name | Ms. Heather L. Aldridge |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Orlando, FL 32806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 22/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0022578 | (05) | NJ |
023929000 | (05) | FL |
4040481 | (05) | MD |
Q35858 | (02) |