Provider Demographics
NPI:1497277149
Name:NEWHARD, HEATHER SIOBHAN (CRNP-F)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:SIOBHAN
Last Name:NEWHARD
Suffix:
Gender:F
Credentials:CRNP-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-451-9091
Mailing Address - Fax:410-451-9094
Practice Address - Street 1:137 MITCHELLS CHANCE RD STE 180
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2793
Practice Address - Country:US
Practice Address - Phone:410-224-8220
Practice Address - Fax:410-367-2118
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR194913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine