MEDICARE: MICHELLE ANNE MOURRE CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	1021023	TX

General Provider Information

NPI Number	:	1295331858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANNE MOURRE CNP

Provider Business Mailing Address
First Line	:	23910 W INTERSTATE 10 APT 4209
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1387
Country	:	US
Telephone Number	:	210-601-9034
Fax Number	:	210-519-3012

Provider Business Practice Location Address
First Line	:	23910 W INTERSTATE 10 APT 4209
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1387
Country	:	US
Telephone Number	:	210-601-9034
Fax Number	:	210-519-3012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	12/09/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1720560477 — THOMAS RAYA RBT
Practice Location Address:

906 AVOCET
SAN ANTONIO, TX
78245-1387

Practice Phone: 956-424-5616
Practice Fax:

1245475623 — MS. BARBARA JEAN NETER PT
Practice Location Address:

1900 OFARRELL ST STE 250
SAN MATEO, CA
94403-1387

Practice Phone: 650-645-1100
Practice Fax: 650-645-1197

1154566438 — DR. JOEL O'BESO PSY.D.
Practice Location Address:

1900 OFARRELL ST STE 100
SAN MATEO, CA
94403-1387

Practice Phone: 650-780-0575
Practice Fax: 650-780-0587

1831620798 — KEVIN BOMYSOAD PHARMD
Practice Location Address:

8 10TH ST APT 607
SAN FRANCISCO, CA
94103-1387

Practice Phone: 415-833-7123
Practice Fax:

1215428461 — ALPHA OMEGA VENTANA HOSPICE LLC
Practice Location Address:

5575 RUFFIN RD STE 250
SAN DIEGO, CA
92123-1387

Practice Phone: 619-900-0335
Practice Fax: 619-900-0365

Directions to “ MICHELLE ANNE MOURRE CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.