Individual
HEATHER MICHELLE SCRANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
1110 W WILLIAM CANNON DR, SUITE 502, AUSTIN, TX 78745-5468
(512) 474-2660
Mailing address
1110 W WILLIAM CANNON DR, SUITE 502, AUSTIN, TX 78745-5468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
979151
TX
363A00000X
Physician Assistant
Primary
PA07423
TX
Other
Enumeration date
12/15/2011
Last updated
03/19/2021
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