Organization
HOMETOWN CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREEVA HAUSEN AG-ACNP (NURSE PRACTITIONER)
(928) 303-3223
Entity
Organization
Contact information
Practice address
4295 N VAN NUYS RD, KINGMAN, AZ 86409-2548
(928) 303-3223
Mailing address
4295 N VAN NUYS RD, KINGMAN, AZ 86409-2548
(928) 867-4360
(949) 628-0141
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
03/30/2026
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