Provider Demographics
NPI:1528411899
Name:KREAREAS, HEATHER ANN (WHNP-BC, IBCLC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:KREAREAS
Suffix:
Gender:F
Credentials:WHNP-BC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 FRANK AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7265
Mailing Address - Country:US
Mailing Address - Phone:330-956-5300
Mailing Address - Fax:330-935-4603
Practice Address - Street 1:6555 FRANK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7265
Practice Address - Country:US
Practice Address - Phone:330-956-5300
Practice Address - Fax:330-935-4603
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019778363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health