Healthcare Provider Details

I. General information

NPI: 1477489557
Provider Name (Legal Business Name): ALEXANDER HOUSER DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 BOARDMAN CANFIELD RD
YOUNGSTOWN OH
44512-4344
US

IV. Provider business mailing address

114 HARBOR PT
COLUMBIANA OH
44408-8470
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-2285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.561821
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704343819
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0043315
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: