Provider Demographics
NPI:1417402389
Name:ORAM, HEATHER CROCKETT (FNP-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:CROCKETT
Last Name:ORAM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:CROCKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:41 E 1140 N
Mailing Address - Street 2:SUITE B
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-5459
Mailing Address - Country:US
Mailing Address - Phone:801-407-6500
Mailing Address - Fax:801-407-6505
Practice Address - Street 1:41 E 1140 N
Practice Address - Street 2:SUITE B
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5459
Practice Address - Country:US
Practice Address - Phone:801-407-6500
Practice Address - Fax:801-407-6505
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6044582-4405363LP0200X
UT6044582-8900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics