Individual
HEATHER MARIE MOUSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6417 COLUMBUS PIKE, LEWIS CENTER, OH 43035-9719
(740) 201-6515
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
APRN.CNP.0029523
OH
363L00000X
Nurse Practitioner
APRN.CNP.0029523
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029523
OH
Other
Enumeration date
10/05/2021
Last updated
05/09/2025
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