Doctor Name: | LIZABETH VAN HOOSER |
NPI Number: | 1467881789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | AO813045 |
Business Practice Address: | 15601 N County Road 450 E Eaton, IN - 473388700 |
Business Phone Number: | 7657448987 |
Business Fax Number: | |
Mailing Address: | 15601 N County Road 450 E, EATON |
State: | IN |
Postal Code: | 473388700 |
Phone Number: | 7657448987 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AO813045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |