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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