Provider Demographics
NPI:1619150315
Name:HOUSER, RACHEL S (APRN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name:HOUSER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2654
Mailing Address - Country:US
Mailing Address - Phone:863-686-0800
Mailing Address - Fax:863-686-0805
Practice Address - Street 1:1828 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2654
Practice Address - Country:US
Practice Address - Phone:863-686-0800
Practice Address - Fax:863-686-0805
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9276027363LF0000X
FL9276027363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily