Provider Demographics
NPI:1477361939
Name:FORD DRISCOLL, HEATHER LOUISE (RN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LOUISE
Last Name:FORD DRISCOLL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MEADOWVIEW TER
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-1770
Mailing Address - Country:US
Mailing Address - Phone:401-487-8305
Mailing Address - Fax:
Practice Address - Street 1:24 MEADOWVIEW TER
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-1770
Practice Address - Country:US
Practice Address - Phone:401-487-8305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN54796163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult