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Individual

MONALISA CHURCHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1009 NW LOOP 410, SAN ANTONIO, TX 78213-2221
(210) 742-6551
(210) 714-0744
Mailing address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6551
(210) 714-0744

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1143500
TX

Other

Enumeration date
01/08/2024
Last updated
06/13/2025
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