Doctor Name: | MRS. TIFFANY T HOUSER |
NPI Number: | 1265782205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | AP06808 |
Business Practice Address: | 64301 Highway 434 Lacombe, LA - 704455411 |
Business Phone Number: | 9858824500 |
Business Fax Number: | 9858824501 |
Mailing Address: | 64301 Highway 434, LACOMBE |
State: | LA |
Postal Code: | 704455411 |
Phone Number: | 9858824500 |
Fax Number: | 9858824501 |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP06808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |