MEDICARE: HEATHER DANIELLE CREWS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	226187	OK
2	363LF0000X	Family Nurse Practitioner	1047552	TX

General Provider Information

NPI Number	:	1154083970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DANIELLE CREWS FNP

Provider Business Mailing Address
First Line	:	2424 SPRINGER DR STE 102
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-3966
Country	:	US
Telephone Number	:	405-216-3747
Fax Number	:	405-339-0377

Provider Business Practice Location Address
First Line	:	1800 TEAGUE DR STE 219
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-2640
Country	:	US
Telephone Number	:	903-357-5320
Fax Number	:	903-242-8750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	12/10/2025

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