Doctor Name: | RAMONDA K HOUSH |
NPI Number: | 1457504250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | A01746 |
Business Practice Address: | 3219 Highway 67b Walnut Ridge, AR - 724768567 |
Business Phone Number: | 8708865507 |
Business Fax Number: | 8708865632 |
Mailing Address: | Po Box 83, CORNING |
State: | AR |
Postal Code: | 724220083 |
Phone Number: | 8708573399 |
Fax Number: | 8708573301 |
NPI Enumeration Date: | 10/24/2008 |
NPI Last Update Date: | 01/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | A01746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |