Andrea Lynn Houk

Individual provider Active NPI Diabetes Educator Registered Nurse · Cascade, CO

NPI 1609419985 · NPPES record last updated Oct 19, 2019

Key facts

NPI
1609419985
Entity type
Individual (NPI type 1)
Primary specialty
Diabetes Educator Registered Nurse 163WD0400X
License
0175919 (CO)
Practice address
7855 Marriott Rd
Cascade, CO 80809-1726
Phone
(719) 473-7808
Fax
(719) 473-4877
NPI assigned
Oct 19, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0175919COMDDiabetes Educator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 0175919 CO Yes

Addresses

Primary practice location

7855 Marriott Rd
Cascade, CO 80809-1726

Mailing address

7855 Marriott Rd
Cascade, CO 80809-1726
Phone (719) 473-7808

Other providers in Cascade, CO

All providers in Cascade, CO · Diabetes Educator Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.