Individual
MS. MICHELLE MARIE RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9044
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9044
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
20724
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN001949
NV
Other
Enumeration date
05/06/2011
Last updated
01/09/2024
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