Provider Demographics
NPI:1386442994
Name:LOUIE, NICOLE (IHP2)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:LOUIE
Suffix:
Gender:
Credentials:IHP2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 BERMUDA GRASS LOOP
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-5571
Mailing Address - Country:US
Mailing Address - Phone:763-226-6964
Mailing Address - Fax:
Practice Address - Street 1:2901 BERMUDA GRASS LOOP
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-5571
Practice Address - Country:US
Practice Address - Phone:763-226-6964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach