Individual provider · Type 1 NPI

Nicole Lauren Huettner, DO

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1861196453 Active

Practice location

3500 Gaston Ave
Dallas, TX 75246-2088

Call (214) 820-0111 Map

Mailing address

165 Coronado Bnd
Fort Worth, TX 76108-9627

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861196453

Nicole Lauren Huettner, DO's National Provider Identifier is 1861196453, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Mar 28, 2023.