Individual
MERCELLINE MUGALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1165 AIRPORT BLVD, AUSTIN, TX 78702-3152
(512) 472-4357
Mailing address
547A CONGRESS ST UNIT 202, PORTLAND, ME 04101-3300
(205) 994-4022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP129048
TX
Other
Enumeration date
10/20/2011
Last updated
04/16/2024
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