Doctor Name: | ANGELA KIM HEPLER |
NPI Number: | 1053647362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R0072822 |
Business Practice Address: | 3927 Se 14th Pl Del City, OK - 731152229 |
Business Phone Number: | 4056012586 |
Business Fax Number: | |
Mailing Address: | 3927 Se 14th Pl, DEL CITY |
State: | OK |
Postal Code: | 731152229 |
Phone Number: | 4056012586 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | R0072822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |