Individual
MISTI BROWN MAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHISHOLM TRAIL RD STE 5100, ROUND ROCK, TX 78681-5090
(512) 273-7629
Mailing address
2206 CHEYENNE PASS, SALADO, TX 76571-6072
(512) 508-1482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714936
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714936
TEXAS BOARD OF NURSING
TX
01
—
AP145839
TEXAS BOARD OF NURSING
TX
Enumeration date
03/27/2020
Last updated
04/15/2020
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