Individual provider · Type 1 NPI
Michelle Andrus, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fort Sam Houston, TX
NPI number
1114654340
Active
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
7800 W Interstate 10
San Antonio, TX 78230-4700
Other practice locations
- 1846 1st St # 1031, Idaho Falls, ID 83401-4415 · (208) 206-7066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 77648 (ID) |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-302839 (ID) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NUR-APRN-LIC-179716 (MT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 77648 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114654340
Michelle Andrus, PMHNP-BC's National Provider Identifier is 1114654340, issued on Aug 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Feb 27, 2025.