Individual provider · Type 1 NPI
Heather N. Bumgardner, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Port Wentworth, GA
NPI number
1679980668
Active
Practice location
7306 Ga Highway 21, Suite 106
Port Wentworth, GA 31407-9274
Fax (912) 826-1531
Mailing address
3 W Perry St, Suite 106
Savannah, GA 31401-3951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN192027 (GA) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1679980668
Heather N. Bumgardner, NURSE PRACTITIONER's National Provider Identifier is 1679980668, issued on Jul 22, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Wentworth, GA. The record was last updated on Nov 9, 2016.