Individual provider · Type 1 NPI
Charlene Devyn Anderson, FNP-BC
Family Nurse Practitioner · San Antonio, TX
NPI number
1366040487
Active
Practice location
111 Dallas St
San Antonio, TX 78205-1201
Mailing address
8631 Key North Way
Converse, TX 78109-3681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1015157 (TX) |
| Adult Care Home Facility | 311ZA0620X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1366040487
Charlene Devyn Anderson, FNP-BC's National Provider Identifier is 1366040487, issued on Oct 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 8, 2026.