Individual
HEATHER DENAE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 864-1776
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 864-1776
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0071040
OK
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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