Individual
EAN HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 RODGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(919) 724-9396
Mailing address
3551 RODGER BROOKE DR, FORT S, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
255577
TX
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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