Provider Demographics
NPI:1134175888
Name:HENNEMAN, MURIEL ANN (WHNP)
Entity type:Individual
Prefix:MRS
First Name:MURIEL
Middle Name:ANN
Last Name:HENNEMAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5815 76TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1721
Mailing Address - Country:US
Mailing Address - Phone:806-794-8808
Mailing Address - Fax:
Practice Address - Street 1:5815 76TH ST
Practice Address - Street 2:#14 BRIERCROFT
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1721
Practice Address - Country:US
Practice Address - Phone:806-794-8808
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX517021363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health