Individual provider · Type 1 NPI

Vanessa Mauricio, FNP-C

Primary Care Nurse Practitioner · Fort Sam Houston, TX

NPI number 1730658626 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Other practice locations

  • 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 · (210) 473-0367

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP138684 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1730658626

Vanessa Mauricio, FNP-C's National Provider Identifier is 1730658626, issued on Nov 20, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 18, 2026.