Provider Demographics
NPI:1073321907
Name:GILBERT, HEATHER ANN (CRNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:GILBERT
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 CARNELIAN DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-8206
Mailing Address - Country:US
Mailing Address - Phone:717-880-2380
Mailing Address - Fax:
Practice Address - Street 1:38 CARNELIAN DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-8206
Practice Address - Country:US
Practice Address - Phone:717-880-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR238026163W00000X, 363LF0000X
NY860628163W00000X
PARN718744163W00000X
PASP031455363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse