Nichole Lee Houston

Individual provider Active NPI Continuing Education/Staff Development Registered Nurse · O'Fallon, MO

NPI 1497535629 · NPPES record last updated Oct 4, 2023

Key facts

NPI
1497535629
Entity type
Individual (NPI type 1)
Primary specialty
Continuing Education/Staff Development Registered Nurse 163WC1600X
License
2010020842 (MO)
Practice address
309 Sunward Dr
Home
O'Fallon, MO 63368
Phone
(314) 800-9426
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2010020842MOMDMedical-Surgical Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 2010020842 MO
Continuing Education/Staff Development Registered Nurse 163WC1600X 2010020842 MO Yes
Home Health Registered Nurse 163WH0200X 2010020842 MO
Medical-Surgical Registered Nurse 163WM0705X 2010020842 MO

Addresses

Primary practice location

309 Sunward Dr
Home
O'Fallon, MO 63368

Mailing address

309 Sunward Dr
Home
O'Fallon, MO 63368
Phone (314) 800-9426

Other names

  • Nichole Lee Murry Former name

Other providers in O'Fallon, MO

All providers in O'Fallon, MO · Continuing Education/Staff Development Registered Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.