# HOUGHTON HEALTH ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457097636
- **Authorized official:** GLENDA ROSE HOUGHTON APRN (OWNER/CEO)
- **Authorized official phone:** (678) 925-4276

## Contact information

- **Practice address:** 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL 34746
- **Practice address phone:** (678) 925-4276
- **Mailing address:** 2605 SUNNINGDALE DRIVE, KISSIMMEE, FL 34746
- **Mailing address phone:** (678) 925-4276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 05/10/2022