Provider Demographics
NPI:1093581480
Name:HOUY, DENISE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:HOUY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5919 COVERDALE WAY APT G
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-5409
Mailing Address - Country:US
Mailing Address - Phone:703-965-2218
Mailing Address - Fax:
Practice Address - Street 1:4820 31ST ST S STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1665
Practice Address - Country:US
Practice Address - Phone:649-070-3865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily