Provider Demographics
NPI:1730499211
Name:HOUGHTON, EVA ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:ELIZABETH
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:ELIZABETH
Other - Last Name:PFAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:8300 CARMEL AVE NE STE 303B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-3125
Mailing Address - Country:US
Mailing Address - Phone:505-594-1139
Mailing Address - Fax:
Practice Address - Street 1:8300 CARMEL AVE NE STE 303B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-3125
Practice Address - Country:US
Practice Address - Phone:505-594-1139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO172614163W00000X
NMCNP-01675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse