Provider Demographics
NPI:1164745519
Name:HOUSTON, NATASHA HOPE (LPN)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:HOPE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 BERNATH APT. # B
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2079
Mailing Address - Country:US
Mailing Address - Phone:419-464-1740
Mailing Address - Fax:
Practice Address - Street 1:1501 BERNATH PKWY APT B
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-8408
Practice Address - Country:US
Practice Address - Phone:419-464-1740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.117332-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse