Individual
NICOLE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4246 TIMBERRIDGE LN APT B, HERMANTOWN, MN 55811-4048
(651) 434-4988
Mailing address
4246 TIMBERRIDGE LN APT B, HERMANTOWN, MN 55811-4048
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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