Individual
KATHERINE E HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12 WOLF CREEK DR, SUITE 200, SWANSEA, IL 62226-2314
(618) 239-9910
(618) 628-0883
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015689
IL
Other
Enumeration date
04/18/2017
Last updated
03/23/2021
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