Provider Demographics
NPI:1699108969
Name:HOUSER, EVA MARIE (NP-C)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:MARIE
Last Name:HOUSER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 N DIXIE AVE STE 801
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2473
Mailing Address - Country:US
Mailing Address - Phone:270-234-0230
Mailing Address - Fax:270-900-4764
Practice Address - Street 1:790 N DIXIE AVE STE 801
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2473
Practice Address - Country:US
Practice Address - Phone:270-234-0230
Practice Address - Fax:270-900-4764
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily