Individual
HEATHER ROSE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
221 W COLORADO BLVD, PAV II, SUITE 630, DALLAS, TX 75208-2363
(214) 941-6891
(214) 943-5871
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
851581
TX
363L00000X
Nurse Practitioner
Primary
AP130317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP130317
TEXAS NURSING LICENSE
TX
Enumeration date
02/10/2016
Last updated
09/21/2020
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