Individual provider · Type 1 NPI
Russell Samuel Houck, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1366198541
Active
Practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | SP024930 (PA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP024930 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1366198541
Russell Samuel Houck, CRNP's National Provider Identifier is 1366198541, issued on Feb 25, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 25, 2022.