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NPI 1144627373

NPI 1144627373 : SUSAN HOLLE-UTLEY MS, APRN : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1144627373
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    Entity Type          |    Individual 
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    Provider Name        |    SUSAN HOLLE-UTLEY MS, APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/03/2014
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    Last Update Date     |    02/26/2026
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Provider Practice Location Address
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    Address Line         |    18450 HIGHWAY 59 N 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-4404
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    Country              |    US
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    Telephone            |    281-446-6656
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    Fax                  |    281-446-6657
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Provider Business Mailing Address
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    Address Line         |    18450 HIGHWAY 59 N 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-4404
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    Country              |    US
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    Telephone            |    281-446-6656
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    Fax                  |    281-446-6657
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    544420
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    AP124660
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    License Number State |    TX
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