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NPI Code Detail

MEDICARE: MISS ELLA HOUSTON REGISTERED NURSE

MEDICARE: MISS ELLA HOUSTON REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse450075NY
2163W00000XRegistered Nurse450075-1NY
3163WA2000XAdministrator Registered Nurse450075-1NY

General Provider Information

NPI Number : 1104472331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELLA HOUSTON REGISTERED NURSE
Provider Business Mailing Address
First Line : 7 LINCOLN HWY STE 222
Second Line :
City : EDISON
State : NJ
Zip : 08820-3965
Country : US
Telephone Number : 845-612-1228
Fax Number :
Provider Business Practice Location Address
First Line : 45 READE PL
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-3947
Country : US
Telephone Number : 845-454-8500
Fax Number : 845-483-6122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2019
Last Update Date : 11/07/2023

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Directions to “ MISS ELLA HOUSTON REGISTERED NURSE” Practice Location

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