MEDICARE: ANNIE MASHAE HOUSER

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1598623340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE MASHAE HOUSER

Provider Business Mailing Address
First Line	:	2409 HOMER CLAYTON DRIVE
Second Line	:
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976
Country	:	US
Telephone Number	:	256-582-3203
Fax Number	:	256-582-3216

Provider Business Practice Location Address
First Line	:	2409 HOMER CLAYTON DRIVE
Second Line	:
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976
Country	:	US
Telephone Number	:	256-582-3203
Fax Number	:	256-582-3216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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