Provider Demographics
NPI:1184655433
Name:STUART, MICHELE (APRN WHNP -BC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:STUART
Suffix:
Gender:F
Credentials:APRN WHNP -BC
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3401 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6001
Mailing Address - Country:US
Mailing Address - Phone:956-603-1600
Mailing Address - Fax:956-603-1601
Practice Address - Street 1:3401 N 23RD ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6001
Practice Address - Country:US
Practice Address - Phone:956-603-1600
Practice Address - Fax:956-603-1601
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX640101363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150069602Medicaid