Provider Demographics
NPI:1316237027
Name:HARPER, HEATHER (RN, CLE, CBC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:HARPER
Suffix:
Gender:
Credentials:RN, CLE, CBC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ELAINE
Other - Last Name:RAJAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:4100 DUVAL ROAD
Mailing Address - Street 2:BLDG 2 #101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-346-3224
Mailing Address - Fax:512-345-6637
Practice Address - Street 1:4100 DUVAL ROAD
Practice Address - Street 2:BLDG 2 #101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-346-3224
Practice Address - Fax:512-345-6637
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX779229163W00000X
TXL-11510163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse