Organization
HOUGHTON HEALTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA ROSE HOUGHTON APRN (OWNER/CEO)
(678) 925-4276
Entity
Organization
Contact information
Practice address
2605 SUNNINGDALE DRIVE, KISSIMMEE, FL 34746
(678) 925-4276
Mailing address
2605 SUNNINGDALE DRIVE, KISSIMMEE, FL 34746
(678) 925-4276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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