Provider Demographics
NPI:1780476119
Name:HERRIAGE, HEATHER KAY (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:KAY
Last Name:HERRIAGE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 KEARLEY DR
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75087-8616
Mailing Address - Country:US
Mailing Address - Phone:214-966-7484
Mailing Address - Fax:
Practice Address - Street 1:1301 W PRINCETON DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-9614
Practice Address - Country:US
Practice Address - Phone:580-819-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1196906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily