Provider Demographics
NPI:1801194584
Name:HEUSINGER, AMY LARREUR (ANP-C)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LARREUR
Last Name:HEUSINGER
Suffix:
Gender:
Credentials:ANP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:LARREUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-C
Mailing Address - Street 1:7892 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8243
Mailing Address - Country:US
Mailing Address - Phone:704-489-3440
Mailing Address - Fax:888-150-8928
Practice Address - Street 1:275 N NC-16 HWY BUS, STE 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-3008
Practice Address - Country:US
Practice Address - Phone:704-489-3440
Practice Address - Fax:888-815-0892
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005092363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health