Susan M Houselog
Nurse Practitioner - Family Medicine
1670 John F Kennedy Rd
Dubuque
, Iowa 52002-5106
Susan M Houselog
Nurse Practitioner - Family Medicine
1670 John F Kennedy Rd
Dubuque
, Iowa 52002-5106
(563) 584-4110
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Susan M Houselog
- 1500 Associates Dr
- Dubuque, IA
- Zip : 52002-2201
- Fax : (563) 584-4110
- Phone : (563) 584-4100
Second Address
- Susan M Houselog
- 1670 John F Kennedy Rd
- Dubuque, IA
- Zip : 52002-5106
- Fax : (563) 582-8089
- Phone : (563) 582-1220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | A06746 | IA |
National Provider Identifier
| NPI | 1003104969 |
|---|---|
| Provider Name | Susan M Houselog |
| First Address | Dubuque, IA 52002-2201 |
| Second Address | Dubuque, IA 52002-5106 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2011 |
| Last Update Date | 19/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.