Healthcare Provider Details
I. General information
NPI: 1467032706
Provider Name (Legal Business Name): NORAH WINDA OWINO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/12/2021
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 NORTH LOOP W
HOUSTON TX
77008-1444
US
IV. Provider business mailing address
25906 KINSHIP CT
KATY TX
77493-3685
US
V. Phone/Fax
- Phone: 713-869-3333
- Fax:
- Phone: 832-434-7414
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | AP144995 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | AP144995 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: