Provider Demographics
NPI:1386861466
Name:HEID, HOLLY FRANCES (RN, FNP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:FRANCES
Last Name:HEID
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1531
Mailing Address - Country:US
Mailing Address - Phone:817-303-8911
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TEXAS AT ARLINGTON- HEALTH SERVICES
Practice Address - Street 2:605 SOUTH WEST ST.
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76019-0001
Practice Address - Country:US
Practice Address - Phone:817-272-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX530112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily