Olivia Caroline Breef-Breckenridge, FNP-C
Nurse Practitioner in Houston, TX. Individual provider (NPI-1).
NPI number1669021978
StatusActive
Last updated in NPPESFeb 13, 2020
Details
- NPI
- 1669021978
- Entity type
- Individual (NPI-1)
- Name
- Olivia Caroline Breef-Breckenridge
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2019
- Certification date
- Feb 13, 2020
- Last updated
- Feb 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP145132 | TX | Yes |
| 163W00000X | Registered Nurse | 712171 | TX |
Practice location
1703 Aden DrHouston, TX 77003-5309
Phone 832-606-4194
Mailing address
1703 Aden DrHouston, TX 77003-5309
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