=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154083970
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEATHER DANIELLE CREWS FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2021
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1800 TEAGUE DR STE 219
-----------------------------------------------------
City | SHERMAN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75090-2640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-357-5320
-----------------------------------------------------
Fax | 903-242-8750
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2424 SPRINGER DR STE 102
-----------------------------------------------------
City | NORMAN
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73069-3966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-216-3747
-----------------------------------------------------
Fax | 405-339-0377
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 226187
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1047552
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------