Individual
HEATHER ANN GUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 588-0982
(502) 588-0987
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
3006730
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006730
STATE LICENSE
KY
05
—
7100168200
—
KY
Enumeration date
01/29/2010
Last updated
11/18/2024
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