IndividualActive
Amanda Heesacker
NPI 1225973134 · Licensed Practical Nurse · St Petersburg, FL
Provider details
- NPI number
- 1225973134
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5264241 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
6350 22nd Ave N
St Petersburg, FL 33710-4106
Phone: (407) 347-4331
Approximate (ZIP-level) locationGet directions
Mailing address
6350 22nd Ave N
St Petersburg, FL 33710-4106
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.