Provider Demographics
NPI:1154395986
Name:HEULER, ELIZABETH A (ARNP-C)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:HEULER
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CENTRE POINTE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303
Mailing Address - Country:US
Mailing Address - Phone:850-309-0500
Mailing Address - Fax:850-309-0404
Practice Address - Street 1:2000 CENTRE POINTE BOULEVARD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303
Practice Address - Country:US
Practice Address - Phone:850-309-0500
Practice Address - Fax:850-309-0404
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2108172363L00000X
FL2108172163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306664900Medicaid
FLU4053ZOtherMEDICARE PART B
FL306664900Medicaid