Individual
MS. MICHELLE L HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 342-3000
(251) 342-3043
Mailing address
2407 S VAUGHAN DR, MOBILE, AL 36605-3353
(217) 971-7133
(251) 342-3043
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-075074
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104824
—
AL
05
—
105274
—
AL
01
—
CN0216
RAILROAD MEDICARE
AL
Enumeration date
08/30/2006
Last updated
03/11/2009
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