Provider Demographics
NPI:1851823587
Name:FOSTER, HEATHER DAWN (APRN, CNP)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:DAWN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13901 SAUNA LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73165-6513
Mailing Address - Country:US
Mailing Address - Phone:405-632-8658
Mailing Address - Fax:
Practice Address - Street 1:1601 SW 89TH ST STE D100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6378
Practice Address - Country:US
Practice Address - Phone:405-546-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK93067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily