Individual
MIRELLA HUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2101 S IH 35 STE 220, AUSTIN, TX 78741-3875
(512) 807-0640
Mailing address
2101 S IH 35 STE 220, AUSTIN, TX 78741-3875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
970394
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1129186
TX
Other
Enumeration date
03/17/2022
Last updated
11/07/2023
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