Individual
ANN RENEE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17189 I H 45 S STE 475, SHENANDOAH, TX 77385-3320
(936) 270-3933
Mailing address
17189 I H 45 S STE 475, SHENANDOAH, TX 77385-3320
(936) 270-3933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138637
TX
363LP2300X
Primary Care Nurse Practitioner
F07181167
TX
Other
Enumeration date
07/19/2018
Last updated
04/17/2019
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