Individual
HEATHER R HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-3529
(317) 567-2191
Mailing address
4829 WINDRIFT WAY, CARMEL, IN 46033-9508
(317) 669-2744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28188581A
IN
367500000X
Certified Registered Nurse Anesthetist
RN315934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675476
ANTHEM
IN
05
—
200997400
—
IN
Enumeration date
04/29/2009
Last updated
05/15/2019
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