Individual
NHI VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
18707 HARDY OAK BLVD STE 105, SAN ANTONIO, TX 78258-4792
(855) 204-2502
(866) 275-5726
Mailing address
2609 OAK MEADOW DR, ROUND ROCK, TX 78681-7246
(324) 274-4501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1052890
TX
Other
Enumeration date
01/04/2023
Last updated
03/24/2026
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