Individual provider · Type 1 NPI

Michael Pequeno, AG-ACNP

Nurse Practitioner · San Antonio, TX

NPI number 1467944256 Active

Practice location

1200 Brooklyn Ave
San Antonio, TX 78212-4803

Fax (210) 281-1001

Other practice locations

  • 315 N San Saba Ste 102, San Antonio, TX 78207-3196 · (210) 277-1418
  • 311 Camden St Ste 102, San Antonio, TX 78215-2003 · (210) 281-9800

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XAP136257 (TX)
Acute Care Nurse Practitioner 363LA2100XAP136257 (TX)
Nurse Practitioner Primary 363L00000XAP136257 (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 1467944256

Michael Pequeno, AG-ACNP's National Provider Identifier is 1467944256, issued on Jun 6, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Feb 29, 2024.