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Individual

NOELLE ALLYSE MAYOR I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,APRN,ACNP

Contact information

Practice address
5115 FANNIN ST STE 801, HOUSTON, TX 77004-5870
(713) 790-1876
(713) 790-9663
Mailing address
5115 FANNIN ST STE 801, HOUSTON, TX 77004-5870
(713) 790-1876
(713) 790-9663

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
824833
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP140945
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
398067401
TX
05
398067402
TX
Enumeration date
03/27/2019
Last updated
05/22/2024
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