Provider Demographics
NPI:1205303203
Name:O'MEARA, HEATHER ALICE (CNM)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ALICE
Last Name:O'MEARA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ALICE
Other - Last Name:ABETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10145 ALEXA LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8025
Mailing Address - Country:US
Mailing Address - Phone:303-345-5526
Mailing Address - Fax:
Practice Address - Street 1:1635 AURORA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-28
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994017-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife