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Contact Information

ELLEN HEUBACH, ARNP
659 NE HWY 19
UNIT 1
CRYSTAL RIVER, FL34429
 Phone: 352-563-0911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELLEN HEUBACH · (Female)

NPI Number 1134570369
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/29/2016
Last updated 11/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP9186834
  • FL Medicaid 02208600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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