Individual
BEVERLIE HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4190 24TH AVE, FORT GRATIOT, MI 48059-3882
(810) 989-7788
(810) 989-7799
Mailing address
4190 24TH AVE, FORT GRATIOT, MI 48059-3882
(810) 989-7788
(810) 989-7799
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704266184
MI
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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