Individual
MICHELLE ANNE MOURRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
23910 W INTERSTATE 10 APT 4209, SAN ANTONIO, TX 78257-1387
(210) 601-9034
(210) 519-3012
Mailing address
23910 W INTERSTATE 10 APT 4209, SAN ANTONIO, TX 78257-1387
(210) 601-9034
(210) 519-3012
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1021023
TX
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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