Individual
MICHELLE RENACCI GERSHENSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4120 SOUTHWEST FWY, STE 100, HOUSTON, TX 77027-7339
(713) 626-8500
(713) 626-8560
Mailing address
PO BOX 4346, DEPT 675, HOUSTON, TX 77210-4346
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
459059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034038
RECERTIFICATION AANA
TX
01
—
84318U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/15/2005
Last updated
07/08/2007
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