Individual
NICOLE MICHELLE BRENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11327 ROSSIE MOOR LN, RICHMOND, TX 77407-1750
(510) 909-3521
Mailing address
11327 ROSSIE MOOR LN, RICHMOND, TX 77407-1750
(510) 909-3521
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1075837
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1075837
TX
Other
Enumeration date
08/19/2024
Last updated
10/25/2024
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