Nicole Demo
Registered Nurse in Houston, TX. Individual provider (NPI-1).
NPI number1073014635
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1073014635
- Entity type
- Individual (NPI-1)
- Name
- Nicole Demo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 937858 | TX | Yes |
Other names
- Nicole Moyer (Former Name)
Practice location
5242 Indigo StHouston, TX 77096-1311
Phone 713-540-1414
Mailing address
5242 Indigo StHouston, TX 77096-1311
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