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NPI Code Detail

MEDICARE: ASHLEE LYNN HOUSER FNP-C

MEDICARE: ASHLEE LYNN HOUSER FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF354502NY

General Provider Information

NPI Number : 1285477851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE LYNN HOUSER FNP-C
Provider Business Mailing Address
First Line : 6 WELLNESS WAY STE 201
Second Line :
City : LATHAM
State : NY
Zip : 12110-2156
Country : US
Telephone Number : 518-782-3700
Fax Number : 518-782-3799
Provider Business Practice Location Address
First Line : 4164 NY 2
Second Line :
City : TROY
State : NY
Zip : 12180-9029
Country : US
Telephone Number : 518-213-0450
Fax Number : 518-279-1716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2024
Last Update Date : 04/06/2026

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