Provider Demographics
NPI:1164971081
Name:HOUSEL, GRETCHEN ELIZABETH (NP-C)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:ELIZABETH
Last Name:HOUSEL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:ELIZABETH
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:8505 ARLINGTON BLVD
Mailing Address - Street 2:SUITE #320
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4621
Mailing Address - Country:US
Mailing Address - Phone:703-641-0500
Mailing Address - Fax:703-204-9056
Practice Address - Street 1:5100 WISCONSIN AVE NW STE 401
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4131
Practice Address - Country:US
Practice Address - Phone:202-527-7393
Practice Address - Fax:202-527-7400
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001261752163W00000X
DCRN1044832163W00000X, 363LP2300X
VA0024173026363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse