Individual
MRS. ANDREA ELEASE MYERS-GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 W FM 1161 RD, WHARTON, TX 77488-9749
(979) 533-4538
Mailing address
6818 W FM 1161 RD, WHARTON, TX 77488-9749
(979) 533-4538
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
753351
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1106494
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G172317
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
TX
Enumeration date
11/19/2021
Last updated
01/18/2023
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