Individual provider · Type 1 NPI

Nang Immanivong

Family Nurse Practitioner · Houston, TX

NPI number 1538567102 Active

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4009

Mailing address

PO Box 4439
Houston, TX 77210-4439

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP126583 / RN 732786 (TX)
Family Nurse Practitioner Primary 363LF0000XAP126583 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1538567102

Nang Immanivong's National Provider Identifier is 1538567102, issued on Dec 15, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Mar 1, 2018.