Provider Demographics
NPI:1487891685
Name:REED, HEATHER ANNE (ARNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANNE
Last Name:REED
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANNE
Other - Last Name:AYCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:8325 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-6006
Mailing Address - Country:US
Mailing Address - Phone:405-728-8000
Mailing Address - Fax:405-720-5837
Practice Address - Street 1:8325 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-6006
Practice Address - Country:US
Practice Address - Phone:405-728-8000
Practice Address - Fax:405-720-5837
Is Sole Proprietor?:No
Enumeration Date:2009-01-11
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK70944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily