Individual
NICOLE VETALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(713) 823-2064
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
916007
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1056755
TX
Other
Enumeration date
06/13/2022
Last updated
05/22/2024
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