Individual
HEATHER DAWN MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-3356
Mailing address
2925 SW 136TH ST, OKLAHOMA CITY, OK 73170-5167
(405) 501-3600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
90848
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200463350A
—
OK
Enumeration date
10/23/2012
Last updated
02/24/2023
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