Healthcare Provider Details

I. General information

NPI: 1184335549
Provider Name (Legal Business Name): HEATHER MYERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CHINKAPIN LN
FLOWER MOUND TX
75028-3227
US

IV. Provider business mailing address

1101 CHINKAPIN LN
FLOWER MOUND TX
75028-3227
US

V. Phone/Fax

Practice location:
  • Phone: 972-249-6771
  • Fax:
Mailing address:
  • Phone: 972-249-6771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number752617
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number752617
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number752617
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number752617
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number752617
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number752617
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number752617
License Number StateTX
# 8
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number752617
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: