Individual provider · Type 1 NPI
Renju Sebastian, NP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1629555602
Active
Practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
PO Box 4439
Houston, TX 77210-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP132793 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP132793 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1629555602
Renju Sebastian, NP's National Provider Identifier is 1629555602, issued on Jul 23, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Mar 12, 2020.