Provider Demographics
NPI:1568673549
Name:JULIE HEUSER ARNP PLLC
Entity Type:Organization
Organization Name:JULIE HEUSER ARNP PLLC
Other - Org Name:JULIE HEUSER ARNP PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT. SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:HEUSER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:502-228-1142
Mailing Address - Street 1:14008 HARBOUR PL
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8006
Mailing Address - Country:US
Mailing Address - Phone:502-614-6358
Mailing Address - Fax:
Practice Address - Street 1:2113 STATE ST
Practice Address - Street 2:STE. 2
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4961
Practice Address - Country:US
Practice Address - Phone:812-941-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3324P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty