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Individual

NICHOLE LEE HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
309 SUNWARD DR, HOME, O'FALLON, MO 63368
(314) 800-9426
Mailing address
309 SUNWARD DR, HOME, O'FALLON, MO 63368
(314) 800-9426

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
2010020842
MO
163WH0200X
Home Health Registered Nurse
2010020842
MO
163WM0705X
Medical-Surgical Registered Nurse
2010020842
MO
163WW0000X
Wound Care Registered Nurse
2010020842
MO

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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