Individual
NICOLE IGINIAMRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-1000
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
801266
TX
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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