| Mary J Heatherington, CRNA | |
|
5501 N Portland Ave, Oklahoma City, OK 73112-2074 | |
| (918) 392-2944 | |
| (918) 664-2521 |
| Full Name | Mary J Heatherington |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5501 N Portland Ave, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912915232 | NPI | - | NPPES |
| 100786710A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0019159 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J Heatherington, CRNA Po Box 248875, Oklahoma City, OK 73124-8875 Ph: (918) 392-2944 | Mary J Heatherington, CRNA 5501 N Portland Ave, Oklahoma City, OK 73112-2074 Ph: (918) 392-2944 |
Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351 | |
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921 | |
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612 |