Provider Demographics
NPI:1134631195
Name:HOUT, ERIKA ANN (ARNP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ANN
Last Name:HOUT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 27TH AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501
Mailing Address - Country:US
Mailing Address - Phone:515-570-8358
Mailing Address - Fax:515-955-5648
Practice Address - Street 1:20 N 29TH ST
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-2990
Practice Address - Country:US
Practice Address - Phone:515-570-8358
Practice Address - Fax:515-955-5648
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA105247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily