Individual provider · Type 1 NPI
Susan Carvajal, PNP
Pediatric Nurse Practitioner · San Antonio, TX
NPI number
1366559346
Active
Practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
Uthscsa, Uthscsa, Dept. Of Pediatrics, 7703 Floyd Curl Drive, Msc 7808
San Antonio, TX 78229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 244403 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1366559346
Susan Carvajal, PNP's National Provider Identifier is 1366559346, issued on Aug 24, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.