Individual
CHRISTOPHER HAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
615 S BALLAS RD, SAINT LOUIS, MO 63122-5314
(636) 358-9204
(314) 251-4564
Mailing address
209 S CHERRY ST, CENTRALIA, IL 62801-3414
(618) 322-8751
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2021006227
MO
Other
Enumeration date
02/03/2021
Last updated
02/22/2021
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