Individual provider · Type 1 NPI

Clayton Donald House, FNP-C

Primary Care Nurse Practitioner · Port Huron, MI

NPI number 1780282004 Active

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127

Mailing address

620 N Fairgrounds Rd
Imlay City, MI 48444-9490

Other practice locations

  • 1222 10th Ave, Port Huron, MI 48060-3406 · (810) 985-9681

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704277180 (MI)
Primary Care Nurse Practitioner Primary 363LP2300X4704277180 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1780282004

Clayton Donald House, FNP-C's National Provider Identifier is 1780282004, issued on Oct 9, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Port Huron, MI. The record was last updated on Jul 11, 2021.