# PAULINE MARIE HEUSER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134548456
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA0385 | NV | Yes |
| 363A00000X | Physician Assistant | PA1521 | NV | — |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 10/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134548456 | SMA MEDICAID | NV |