Individual
CARRIE J HEUCK
Active
Individual
CARRIE J HEUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2006010026
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000540116
ANTHEM
IN
05
—
200881870
—
IN
01
—
P01026952
RR MEDICARE PTAN
IN
Enumeration date
08/20/2006
Last updated
11/15/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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