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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659716181 NPPES
Missouri MEDICAID 1659716181

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