Provider Demographics
NPI:1063086981
Name:MURORUNKWERE, BERNADETTE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:
Last Name:MURORUNKWERE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29735
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-0735
Mailing Address - Country:US
Mailing Address - Phone:512-939-0329
Mailing Address - Fax:
Practice Address - Street 1:20708 SONG BIRD DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7881
Practice Address - Country:US
Practice Address - Phone:512-939-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-15
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1035562363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health