Individual provider · NPI-1
Mary E Andreasen, FNP
Nurse Practitioner, Family · Conroe, TX
NPI number1073287652
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1073287652
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary E Andreasen
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2021
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1034611 | TX | Yes |
Practice location
9176 White Oak DrConroe, TX 77384-4626
Phone 309-261-0225
Mailing address
9176 White Oak DrConroe, TX 77384-4626
Phone 309-261-0225
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