Provider Demographics
NPI:1063681708
Name:HESTON, SYLVIA JANE (CFNP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:JANE
Last Name:HESTON
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:JANE
Other - Last Name:SNIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:150 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537-1141
Mailing Address - Country:US
Mailing Address - Phone:304-329-1400
Mailing Address - Fax:
Practice Address - Street 1:1200 J D ANDERSON DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3494
Practice Address - Country:US
Practice Address - Phone:304-598-1460
Practice Address - Fax:304-598-1457
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV52766363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily