MEDICARE: MRS. HEATHER R SANDS RN

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	163WG0000X	General Practice Registered Nurse	745069	TX
2	363LF0000X	Family Nurse Practitioner	AP144281	TX

General Provider Information

NPI Number	:	1831654128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER R SANDS RN

Provider Business Mailing Address
First Line	:	9300 JOHN HICKMAN PKWY STE 1105
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-5949
Country	:	US
Telephone Number	:	469-308-9970
Fax Number	:	214-308-9789

Provider Business Practice Location Address
First Line	:	9300 JOHN HICKMAN PKWY STE 1105
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-5949
Country	:	US
Telephone Number	:	214-308-9970
Fax Number	:	214-308-9789

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

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	05/28/2026

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