Houston, Stephanie Elaine
Houston, Stephanie Elaine is an individual health care provider with primary practice located at 5471 Dr Martin Luther King Dr , Saint Louis MO 63112-4265. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Houston, Stephanie Elaine can be contacted via phone (314) 367-5820.Contact Information
Primary practice address
5471 Dr Martin Luther King Dr
Saint Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2013011757 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209013526 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 2013011757 | Missouri |
Profile Details
| NPI number | 1659716181 |
|---|---|
| LBN Legal business name | Houston, Stephanie Elaine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2013 |
| Last updated | Sep 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659716181 | NPPES |
| Missouri | MEDICAID | 1659716181 |
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