Individual
SHAUNTRESSE ERIN BOSARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP BC
Contact information
Practice address
201 MILLER ST STE 2, KYLE, TX 78640-4046
(512) 256-0067
Mailing address
240 TURTLE CREEK DR, KYLE, TX 78640-4199
(504) 782-9978
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1219132
TX
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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