Individual
MISTI HESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNPC
Contact information
Practice address
2100 W IOWA AVE STE A, CHICKASHA, OK 73018-2736
(405) 224-2100
Mailing address
2100 W IOWA AVE STE A, CHICKASHA, OK 73018-2736
(405) 224-2100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75310
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75310
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
10/18/2018
Last updated
10/19/2018
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