Provider Demographics
NPI:1598544330
Name:GUERRA, MICHELLE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 N FM 3167 STE C
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-7009
Mailing Address - Country:US
Mailing Address - Phone:956-352-1344
Mailing Address - Fax:956-317-1026
Practice Address - Street 1:131 N FM 3167 STE C
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-7009
Practice Address - Country:US
Practice Address - Phone:956-352-1344
Practice Address - Fax:956-352-1344
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1136673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily