Provider Demographics
NPI:1255667697
Name:MIHLON, NANCY LYNN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LYNN
Last Name:MIHLON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LYNN
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1507 WESTSHORE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-3310
Mailing Address - Country:US
Mailing Address - Phone:985-789-4165
Mailing Address - Fax:832-321-4047
Practice Address - Street 1:1507 WESTSHORE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-3310
Practice Address - Country:US
Practice Address - Phone:985-789-4165
Practice Address - Fax:832-321-4047
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN096702-AP05927363LF0000X
TX735785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily