Provider Demographics
NPI:1598913600
Name:NEBO, STELLA
Entity Type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:
Last Name:NEBO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19546 OTTER TRAIL CT.
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4552
Mailing Address - Country:US
Mailing Address - Phone:713-870-4208
Mailing Address - Fax:
Practice Address - Street 1:19546 OTTER TRAIL CT.
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4552
Practice Address - Country:US
Practice Address - Phone:713-870-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675909163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health