Individual provider · Type 1 NPI
Divina G. Buccellato, NP
Nurse Practitioner · San Antonio, TX
Practice location
3070 Colorado Cv
San Antonio, TX 78253-6294
Mailing address
3040 Colorado Cove
San Antonio, TX 78253
Other practice locations
- 11212 Tx Hwy 151 Plaza 1 Suite 230, San Antonio, TX 78251 · (210) 703-8000
- 11212 Tx Hwy 151 Plaza 1 Ste 230, San Antonio, TX 78251 · (210) 703-8556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 141736 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | 141736 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1427619675
Divina G. Buccellato, NP's National Provider Identifier is 1427619675, issued on Jun 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 10, 2026.