Provider Demographics
NPI:1922575463
Name:ONEAL, HEATHER LYNNE (APRN, CNM, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LYNNE
Last Name:ONEAL
Suffix:
Gender:F
Credentials:APRN, CNM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 COOMBS FARM RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-1157
Mailing Address - Country:US
Mailing Address - Phone:304-276-9648
Mailing Address - Fax:304-381-4864
Practice Address - Street 1:10000 COOMBS FARM RD STE 106
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-1157
Practice Address - Country:US
Practice Address - Phone:304-212-5663
Practice Address - Fax:304-936-0101
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN90840367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty