Individual
MICHELLE STEPHANIE PETMI NDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8588 KATY FWY STE 350, HOUSTON, TX 77024-1853
(844) 824-8775
Mailing address
8588 KATY FWY STE 350, HOUSTON, TX 77024-1853
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP145527
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019075997
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145527
TX
Other
Enumeration date
03/05/2020
Last updated
01/09/2026
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