Healthcare Provider Details

I. General information

NPI: 1154395986
Provider Name (Legal Business Name): ELIZABETH A HEULER ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CENTRE POINTE BOULEVARD
TALLAHASSEE FL
32303
US

IV. Provider business mailing address

2000 CENTRE POINTE BOULEVARD
TALLAHASSEE FL
32303
US

V. Phone/Fax

Practice location:
  • Phone: 850-309-0500
  • Fax: 850-309-0404
Mailing address:
  • Phone: 850-309-0500
  • Fax: 850-309-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 2108172
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number2108172
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: