Individual
HEATHER LYNN HUELSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
535 BARNHILL DR STE 340, INDIANAPOLIS, IN 46202-5116
(317) 944-7415
(317) 944-0174
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01089854A
IN
208800000X
Urology Physician
ME150650
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103104428
ANTHEM PTAN
IN
05
—
300079043
—
IN
Enumeration date
05/13/2016
Last updated
03/10/2025
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