Mischelle Vanwijk

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

629327 Issued in TX

Practice address

201 Enterprise Row
Suite 12
Conroe, TX 77301-4448

Phone

(936) 760-2784

Fax

(936) 760-1950

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760556344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 LONGWOOD LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773023115",
            "telephone_number": "936-760-2784",
            "fax_number": "936-760-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE ROW",
            "address_2": "SUITE 12",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014448",
            "telephone_number": "936-760-2784",
            "fax_number": "936-760-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWIJK",
        "first_name": "MISCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "629327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Van Dresar, LPC, CCTP
• Tyler Jackson Van Wagoner
• John D. Vanderkaay, D.MIN., LMFT-S
• Harvey Vanecek
• Angela Beth Vanek, M.A., CCC-SLP
• Kamrie N Vanwinkle, MA, BCBA, LBA
• Logan Vargas, DO
• Stephen Vargo
• Jemima Sarah Varughese, DMD
• Sai Ashish Vasa

• Women's Health Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.