Individual
HEATHER PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
202 WEST BROADWAY, ALLEN, OK 74825
(580) 857-2424
(580) 857-2220
Mailing address
PO BOX 305, ALLEN, OK 74825-0305
(580) 857-2424
(580) 857-2220
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
86291
OK
363LF0000X
Family Nurse Practitioner
Primary
86291
OK
Other
Enumeration date
10/05/2015
Last updated
05/20/2024
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