Provider Demographics
NPI:1861696742
Name:VAN HEYST, D'AUNA NICOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:D'AUNA
Middle Name:NICOLE
Last Name:VAN HEYST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 LANSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-4626
Mailing Address - Country:US
Mailing Address - Phone:214-893-8251
Mailing Address - Fax:
Practice Address - Street 1:2100 N FAROLA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-2226
Practice Address - Country:US
Practice Address - Phone:972-749-7704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688516163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool