Provider Demographics
NPI:1285785691
Name:ROSS, NANCY ELIZABETH (MSN,LPC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELIZABETH
Last Name:ROSS
Suffix:
Gender:F
Credentials:MSN,LPC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2500 TANGLEWILDE ST
Mailing Address - Street 2:#350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2100
Mailing Address - Country:US
Mailing Address - Phone:713-789-4411
Mailing Address - Fax:713-789-4433
Practice Address - Street 1:2500 TANGLEWILDE ST
Practice Address - Street 2:#350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2100
Practice Address - Country:US
Practice Address - Phone:713-789-4411
Practice Address - Fax:713-789-4433
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10662101YP2500X
TX236688363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX236688OtherCLINICAL NURSE SPECIALIST
TX3577OtherMARRIAGE&FAMILY THERAPIST
TX10662OtherPROFESSIONAL COUNSELOR
TXCN0033Medicare ID - Type UnspecifiedCLINICAL NURSE SPECIALIST