Individual
MITZI MICHELE MARKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
175 DURAND CT, WACO, TX 76705-5365
(254) 716-3941
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1075971
TX
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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