Provider Demographics
NPI:1538816459
Name:HUERTAS, ARIEL PAIGE EDER (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:PAIGE EDER
Last Name:HUERTAS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:PAIGE
Other - Last Name:EDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2025 S CHICAGO ST STE 1
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60436-3173
Mailing Address - Country:US
Mailing Address - Phone:815-726-2200
Mailing Address - Fax:815-582-3253
Practice Address - Street 1:2025 S CHICAGO ST STE 1
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60436-3173
Practice Address - Country:US
Practice Address - Phone:815-726-2200
Practice Address - Fax:815-582-3253
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.564438363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily