Individual provider · Type 1 NPI

Olga De Luna-Demenev

Pediatric Nurse Practitioner · San Antonio, TX

NPI number 1467823047 Active

Practice location

11398 Bandera Rd Ste 201
San Antonio, TX 78250-6827

Fax (210) 314-5044

Mailing address

14100 San Pedro Ave Ste 412
San Antonio, TX 78232-2009

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP129274 (TX)
Pediatric Nurse Practitioner Primary 363LP0200XAP129274 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1467823047

Olga De Luna-Demenev's National Provider Identifier is 1467823047, issued on Oct 8, 2015. 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 Oct 30, 2018.