Doctor Name: | MEGAN HOUSTON |
NPI Number: | 1083001713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.R.N. |
License Number: | 101.0110937 |
Business Practice Address: | 50 Timber Ln South Burlington, VT - 054037204 |
Business Phone Number: | 8028626312 |
Business Fax Number: | |
Mailing Address: | 43 Central Ave, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054036905 |
Phone Number: | 8028256136 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2015 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 101.0110937 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |