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Individual

HEIDI C HOUSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN-FNP

Contact information

Practice address
1408 GUNSTON CT, CHESAPEAKE, VA 23322-8100
(757) 753-1692
Mailing address
1408 GUNSTON CT, CHESAPEAKE, VA 23322-8100
(757) 753-1692

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183795
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024183795
PROFESSIONAL LICENSE NUMBER
VA
Enumeration date
03/11/2022
Last updated
03/11/2022
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