Individual
MICHELLE ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(726) 228-0433
Mailing address
7800 W INTERSTATE 10, SAN ANTONIO, TX 78230-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77648
ID
163WL0100X
Lactation Consultant (Registered Nurse)
L-302839
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
77648
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-179716
MT
Other
Enumeration date
08/08/2022
Last updated
02/27/2025
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