Healthcare Provider Details

I. General information

NPI: 1326472424
Provider Name (Legal Business Name): ANA MARIE HOUSER ACNS-BC AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE
ALBUQUERQUE NM
87106-2719
US

IV. Provider business mailing address

700 LOMA LINDA PL SE
ALBUQUERQUE NM
87108-3343
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-0768
  • Fax: 254-202-5651
Mailing address:
  • Phone: 512-636-9667
  • Fax: 254-202-9349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number78463
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: