Provider Demographics
NPI:1306644695
Name:HOUSEL, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:HOUSEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9507 HOWLAND SPRINGS RD SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-3139
Mailing Address - Country:US
Mailing Address - Phone:330-314-2553
Mailing Address - Fax:
Practice Address - Street 1:15840 MAIN MARKET RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:OH
Practice Address - Zip Code:44021-9621
Practice Address - Country:US
Practice Address - Phone:330-314-2553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide