Provider Demographics
NPI:1083875918
Name:MYERS, HEATHER LYNN (ARNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN
Last Name:MYERS
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 ROUNDTREE ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3733
Mailing Address - Country:US
Mailing Address - Phone:913-745-5699
Mailing Address - Fax:
Practice Address - Street 1:6400 SPRINT PKWY
Practice Address - Street 2:MAILSTOP: KSOPHG0201
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66251-6107
Practice Address - Country:US
Practice Address - Phone:913-315-6432
Practice Address - Fax:913-315-0523
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS46170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily