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Individual

NICOLE L TWINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.C.N.P.

Contact information

Practice address
6410 FANNIN ST, 1020, HOUSTON, TX 77030-3000
(832) 325-7090
(713) 512-2238
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
679400
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y0211
BCBSTX
TX
Enumeration date
06/06/2006
Last updated
02/12/2008
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