Provider Demographics
NPI:1588299861
Name:ONA, NICOLE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ONA
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10658 CHAPEL HILL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-3905
Mailing Address - Country:US
Mailing Address - Phone:832-573-5646
Mailing Address - Fax:
Practice Address - Street 1:6609 W SAM HOUSTON PKWY S STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1641
Practice Address - Country:US
Practice Address - Phone:713-595-9000
Practice Address - Fax:713-595-8500
Is Sole Proprietor?:No
Enumeration Date:2020-03-07
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145368363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care