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NPI Code Detail

MEDICARE: MS. NICOLE C LEA CPNP

MEDICARE: MS. NICOLE C LEA CPNP
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
1363LP0200XPediatric Nurse Practitioner671248TX

General Provider Information

NPI Number : 1437229234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE C LEA CPNP
Provider Business Mailing Address
First Line : 6701 FANNIN ST
Second Line : SUITE 1040
City : HOUSTON
State : TX
Zip : 77030-2608
Country : US
Telephone Number : 832-822-3308
Fax Number : 832-825-3308
Provider Business Practice Location Address
First Line : 6701 FANNIN ST
Second Line : SUITE 1040
City : HOUSTON
State : TX
Zip : 77030-2608
Country : US
Telephone Number : 832-822-3308
Fax Number : 832-825-3308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 03/28/2023

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