Provider Demographics
NPI:1740669712
Name:FLOWERS, HEATHER LIANE (BA, DBA)
Entity type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:LIANE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:BA, DBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W MOANA LN STE 204
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4943
Mailing Address - Country:US
Mailing Address - Phone:775-515-4445
Mailing Address - Fax:775-683-9910
Practice Address - Street 1:255 W MOANA LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4906
Practice Address - Country:US
Practice Address - Phone:775-530-0041
Practice Address - Fax:775-683-9910
Is Sole Proprietor?:No
Enumeration Date:2015-05-24
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty