NPI | 1720791056 |
---|---|
Doing Business As | BOERNE HEALTHCARE GROUP PLLC |
Entity Type | Organization |
Authorized Contact | MICHELLE ANNE MOURRE CEO/Owner 210-601-9034 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2023-01-02 |
Last Update Date | 2024-03-10 |