Organization
GERIATRIC NURSE PRACTITIONER SERVICES, LLC
Active
Organization
GERIATRIC NURSE PRACTITIONER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOLA FAYE HOUSTON MSN, GNP (GERONTOLOGICAL NURSE PRACTITIONER)
(270) 929-9971
Entity
Organization
Contact information
Practice address
6652 WATERFORD PL, OWENSBORO, KY 42303-9235
(270) 929-9971
(270) 281-4009
Mailing address
6652 WATERFORD PL, OWENSBORO, KY 42303-9235
(270) 929-9971
(270) 281-4009
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 2129P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP 2129P
LICENSE
KY
Enumeration date
05/06/2008
Last updated
05/06/2008
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