NPI 1003104969 SUSAN M HOUSELOG A.R.N.P. MANCHESTER IA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Susan M Houselog - NPI: 1003104969

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SUSAN M HOUSELOG
NPI Number: 1003104969
Entity Type Code: Individual (1)
Gender: F
Credentials: A.R.N.P.
License Number: 067476
Business Practice Address: 709 W Main St
Manchester, IA - 520571526
Business Phone Number: 5639273232
Business Fax Number: 5639277935
Mailing Address: Po Box 359, 709 W Main Street
MANCHESTER
State: IA
Postal Code: 520570359
Phone Number: 5639273232
Fax Number: 5639277935
NPI Enumeration Date: 07/13/2011
NPI Last Update Date: 07/22/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 067476
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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