Mucci, Heather J

Mucci, Heather J is an individual health care provider with primary practice located at 444 S 1St St Suite 100, Louisville KY 40202-1416. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mucci, Heather J can be contacted via phone (502) 583-6647.

Contact Information

Primary practice address
444 S 1St St Suite 100 Louisville KY 40202-1416
Phone: (502) 583-6647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 40176 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4440P Kentucky

Profile Details

NPI number 1518916329
LBN Legal business name Mucci, Heather J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 28th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518916329 NPPES
Kentucky MEDICAID 78013695
Kentucky Other P00343544

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