Individual
MRS. HEATHER ELIZABETH HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9900 BROADWAY EXT STE 200, OKLAHOMA CITY, OK 73114
(405) 608-8833
Mailing address
9900 BROADWAY EXT STE 200, OKLAHOMA CITY, OK 73114-6323
(405) 608-8833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
99107
OK
Other
Enumeration date
12/14/2018
Last updated
02/01/2019
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