Huerta, Denise

Huerta, Denise is an individual health care provider with primary practice located at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum NY 13602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Huerta, Denise can be contacted via phone (315) 772-0215.

Contact Information

Primary practice address
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602
Phone: (315) 772-0215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0F400293 New York

Profile Details

NPI number 1447279773
LBN Legal business name Huerta, Denise
Credentials NPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 16th, 2021 - about 3 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 1447279773 NPPES
New York Other RA6439 MEDICARE

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