Individual
MARY HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1179
(270) 251-4100
Mailing address
7135 OLD HOUSER RD, BOAZ, KY 42027-9643
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3018256
KY
Other
Enumeration date
08/24/2022
Last updated
08/26/2022
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