Individual
MS. HEATHER NICOLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(817) 992-4306
Mailing address
5718 S HARVARD CT UNIT B, TULSA, OK 74135-4116
(817) 992-4306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3142
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2019
Last updated
02/04/2021
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