Individual
MICHELLE M. MAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 TRANSMOUNTAIN RD., EL PAO, TX 79911
(915) 215-5666
(915) 215-5047
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
718412
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP114187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176752701
—
TX
01
—
85417U
BCBS
TX
Enumeration date
07/03/2006
Last updated
09/13/2019
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