Individual
DORA GRACE HOUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-7986
(712) 279-3799
Mailing address
5540 BROKEN KETTLE RD, SIOUX CITY, IA 51108-9504
(712) 301-3371
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
A083035
IA
163WH1000X
Hospice Registered Nurse
A083035
IA
363L00000X
Nurse Practitioner
Primary
A083035
IA
Other
Enumeration date
09/25/2012
Last updated
10/18/2022
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