Provider Demographics
NPI:1093570327
Name:HOUSER, SHARON PAULINE
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:PAULINE
Last Name:HOUSER
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 1:8110 SE BLACKJACK RD
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:KS
Mailing Address - Zip Code:66739-1794
Mailing Address - Country:US
Mailing Address - Phone:620-783-5785
Mailing Address - Fax:
Practice Address - Street 1:8110 SE BLACKJACK RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:KS
Practice Address - Zip Code:66739-1794
Practice Address - Country:US
Practice Address - Phone:620-783-5785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide