NPI 1003204660

Beverlie Houser, AGPCNPBC

Practitioner Gerontology Nurse Practitioner Fort Gratiot, MI

Practice location

Address: 4190 24th Ave, Fort Gratiot, MI 48059-3882
Phone: (810) 989-7788
Fax: (810) 989-7799

Registered specialties

Gerontology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence 4704266184 (MI)

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Registry record

NPI: 1003204660
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2015
Record last updated: 6 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.