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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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SHIELDS, HEATHER NICOLE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: GREAT PLAINS REGIONAL MEDICAL CENTER
PO BOX 2339
ELK CITY OK 73648-2339

Address last updated on 1/16/2024
Phone #: (580) 821-5351
Fax #:
County: BECKHAM
License: 571
Dated: 8/28/1997
Expires: 1/31/2025
Temp. Ltr. Issued: 7/24/1997
Temp. Ltr. Expires: 11/22/1997
License Type: Physical Therapist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
GREAT PLAINS REGIONAL MEDICAL CENTER
PO BOX 2339
ELK CITY OK 73648-2339

Phone #: (580) 821-5351
Fax #:

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