Most Relevant Information
Provider Data
| NPI Number: | 1003448515 |
| Provider Name: | SARA HOUCK FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95013932 |
Most Important Dates
| Enumeration Date: | 02/12/2020 |
| Last Updated: | 02/12/2020 |
Provider Practice Location
891 EMERSON ST
THOUSAND OAKS
CA
913622445
Practice Location Phone/Fax
| Phone: | 8625760051 |
| Fax: |
Provider Mailing Location
891 EMERSON ST
THOUSAND OAKS
CA
913622445
Provider Mailing Phone/Fax
| Phone: | 8625760051 |
| Fax: |