NPI Profile for ELLEN HEUBACH in CRYSTAL RIVER, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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ELLEN HEUBACH
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