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Individual

CARRIE J HEUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
801 N STATE ST STE 305, GREENFIELD, IN 46140-1270
(317) 477-6363
Mailing address
9240 N MERIDIAN ST, SUITE 240, INDIANAPOLIS, IN 46260-1880
(317) 571-0030

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
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