Provider Demographics
NPI:1649672270
Name:MCKEEL, HEATHER GRACE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:GRACE
Last Name:MCKEEL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HEATH LN
Mailing Address - Street 2:
Mailing Address - City:TIONESTA
Mailing Address - State:PA
Mailing Address - Zip Code:16353-7536
Mailing Address - Country:US
Mailing Address - Phone:724-433-6157
Mailing Address - Fax:
Practice Address - Street 1:100 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2130
Practice Address - Country:US
Practice Address - Phone:814-678-0080
Practice Address - Fax:814-678-1106
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021465OtherCRNP PRESCRIPTIVE AUTHORITY