Provider Demographics
NPI:1790535466
Name:HUELGAS, NIKKI DENOSTA (RN)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:DENOSTA
Last Name:HUELGAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17004 ASH LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-1500
Mailing Address - Country:US
Mailing Address - Phone:954-294-0864
Mailing Address - Fax:
Practice Address - Street 1:17004 ASH LEAF WAY
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-1500
Practice Address - Country:US
Practice Address - Phone:954-294-0864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX913247163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse