Basic Information
| Provider Information | |||||||||
| NPI: | 1851823587 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | DAWN | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | APRN, CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1776 E ROBINSON ST | ||||||||
| Address2: | |||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730717442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053605600 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7530 NW 23RD ST | ||||||||
| Address2: | |||||||||
| City: | BETHANY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4054707414 | ||||||||
| FaxNumber: | 4054705579 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2017 | ||||||||
| LastUpdateDate: | 09/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 93067 | OK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.