Provider Demographics
NPI:1649059965
Name:HEISLER, MONICA LEE (RN, BSN, MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LEE
Last Name:HEISLER
Suffix:
Gender:F
Credentials:RN, BSN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 S INDIANWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-0938
Mailing Address - Country:US
Mailing Address - Phone:918-851-3205
Mailing Address - Fax:
Practice Address - Street 1:2303 S INDIANWOOD AVE
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-0938
Practice Address - Country:US
Practice Address - Phone:918-851-3205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily