Heather N Prentice (NPI# 1073983961, PAC ID# 4082905948) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073983961 |
| PAC ID by PECOS | 4082905948 |
| Professional Enrollment ID | I20160623001097 |
| Full Name | Heather N Prentice |
| Address |
202 W Broadway Allen OK 74825-3215 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370020 | MERCY HOSPITAL ADA |
| 371321 | HOLDENVILLE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 202 W Broadway, Allen, OK 74825-3215 |
| Street Address |
202 W BROADWAY |
| City | ALLEN |
| State | OK |
| Zip | 74825-3215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Russell | Nurse Practitioner | Rural Health Care Innovations | 200 N Easton, Allen, OK 74825-9713 |
| Peggy S Atwood | Physician Assistant | Rural Health Care Innovations | 200 N Easton, Allen, OK 74825-9713 |
| Mary K Machado | Nurse Practitioner | Rural Health Care Innovations | 200 N Easton, Allen, OK 74825-9713 |
| Scott E Evans | Emergency Medicine | Rural Health Care Innovations | 200 N Easton, Allen, OK 74825-9713 |
| City | ALLEN |
| Zip Code | 74825 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALLEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heather N Prentice.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.