Provider Demographics
NPI:1700476793
Name:FRANCO, HEATHER LANE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LANE
Last Name:FRANCO
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 1:3078 RIDGECREST DR
Mailing Address - Street 2:
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-1721
Mailing Address - Country:US
Mailing Address - Phone:405-808-6549
Mailing Address - Fax:
Practice Address - Street 1:129 N 3RD AVE STE C
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-4246
Practice Address - Country:US
Practice Address - Phone:405-641-6628
Practice Address - Fax:405-527-8669
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK200800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily