Individual
DR. ELISE CAROLINE HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-3456
Mailing address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(501) 514-3271
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5328
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5328
STATE LICENSE
OK
Enumeration date
04/30/2020
Last updated
01/06/2026
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