Individual
NICOLE COUVILLON FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3100 WESLAYAN ST STE 350, HOUSTON, TX 77027-5733
(713) 533-1700
(713) 533-1708
Mailing address
PO BOX 873, BELLAIRE, TX 77402-0873
(713) 533-1700
(713) 533-1708
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136808
TX
363LP2300X
Primary Care Nurse Practitioner
AP136808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385955501
—
TX
01
—
8KS668
BCBS TX RECORD ID
TX
Enumeration date
03/05/2018
Last updated
03/18/2025
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