Provider Demographics
NPI:1598153868
Name:MATTHEWS, HEATHER ELAINE KEYS (ARNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ELAINE KEYS
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10333 KUYKENDAHL RD STE B
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2878
Mailing Address - Country:US
Mailing Address - Phone:281-401-9717
Mailing Address - Fax:
Practice Address - Street 1:10333 KUYKENDAHL RD STE B
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2878
Practice Address - Country:US
Practice Address - Phone:281-401-9717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9300524363L00000X
TXAP129748363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner