Individual
LIZABETH VAN HOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
15601 N COUNTY ROAD 450 E, EATON, IN 47338-8700
(765) 744-8987
Mailing address
15601 N COUNTY ROAD 450 E, EATON, IN 47338-8700
(765) 744-8987
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AO813045
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201209890
—
IN
01
—
P01367849
RAILROAD MEDICARE
IN
Enumeration date
11/07/2013
Last updated
11/21/2014
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