Individual provider · Type 1 NPI

Lydia Helen Nefedov, MSN, AGNP-BC

Acute Care Nurse Practitioner · San Antonio, TX

NPI number 1902349772 Active

Practice location

3463 Magic Dr Ste T21
San Antonio, TX 78229-3621

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 · (937) 294-3611

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAPRN002369 (NV)
Acute Care Nurse Practitioner 363LA2100X1075580 (TX)
Gerontology Nurse Practitioner 363LG0600X71013911A (IN)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0040200 (OH)

Acute Care Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1902349772

Lydia Helen Nefedov, MSN, AGNP-BC's National Provider Identifier is 1902349772, issued on Nov 28, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Antonio, TX. The record was last updated on Mar 11, 2026.