Provider Demographics
NPI:1356466627
Name:HOUSER, PAIGE S (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:S
Last Name:HOUSER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2232
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445-0019
Mailing Address - Country:US
Mailing Address - Phone:910-763-1445
Mailing Address - Fax:
Practice Address - Street 1:320 S 5TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4519
Practice Address - Country:US
Practice Address - Phone:910-343-8736
Practice Address - Fax:910-343-1293
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28378363LF0000X
NC200695363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health