Provider Demographics
NPI:1265140248
Name:HOULE, DANETTE ARLENE
Entity type:Individual
Prefix:
First Name:DANETTE
Middle Name:ARLENE
Last Name:HOULE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 CARSON ST S
Mailing Address - Street 2:
Mailing Address - City:OBERON
Mailing Address - State:ND
Mailing Address - Zip Code:58357-5710
Mailing Address - Country:US
Mailing Address - Phone:701-953-7790
Mailing Address - Fax:
Practice Address - Street 1:206 CARSON ST S
Practice Address - Street 2:
Practice Address - City:OBERON
Practice Address - State:ND
Practice Address - Zip Code:58357-5710
Practice Address - Country:US
Practice Address - Phone:701-953-7790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker