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Individual
KATE ELIZABETH HOUGHTALEN
Active
Individual
KATE ELIZABETH HOUGHTALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225391
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5009036
NC
Other
Enumeration date
11/01/2016
Last updated
02/26/2021
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