1538816459 NPI number — ARIEL PAIGE EDER HUERTAS MSN, FNP-BC

Table of content: ARIEL PAIGE EDER HUERTAS MSN, FNP-BC (NPI 1538816459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538816459 NPI number — ARIEL PAIGE EDER HUERTAS MSN, FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUERTAS
Provider First Name:
ARIEL
Provider Middle Name:
PAIGE EDER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
EDER
Provider Other First Name:
ARIEL
Provider Other Middle Name:
PAIGE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538816459
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2025 S CHICAGO ST STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOLIET
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60436-3173
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-726-2200
Provider Business Mailing Address Fax Number:
815-582-3253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2025 S CHICAGO ST STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOLIET
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60436-3173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-726-2200
Provider Business Practice Location Address Fax Number:
815-582-3253
Provider Enumeration Date:
03/10/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  041.564438 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com