Individual
TAYLOR HOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013688
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
2025026662
MO
363LP0200X
Pediatric Nurse Practitioner
5013688
NC
Other
Enumeration date
10/27/2020
Last updated
09/04/2025
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