Provider Demographics
NPI:1346798816
Name:HOUSTON, AMBER CAPRICE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:CAPRICE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2932 COSTELLO AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7504
Mailing Address - Country:US
Mailing Address - Phone:513-332-1946
Mailing Address - Fax:
Practice Address - Street 1:2932 COSTELLO AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-7504
Practice Address - Country:US
Practice Address - Phone:513-332-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0422290163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse