Individual provider · Type 1 NPI
Lakeitha Lanay Berry, NP
Gerontology Nurse Practitioner · San Antonio, TX
NPI number
1922537547
Active
Practice location
3030 Roosevelt Ave
San Antonio, TX 78214-2337
Fax (210) 783-9688
Mailing address
13523 Paxton Blvd
St. Hedwig, TX 78152-0497
Other practice locations
- 2006 Health Campus Dr, Rockingham, VA 22801-8679 · (540) 540-6891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 0024174876 (VA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1128046 (TX) |
| Adult Health Nurse Practitioner | 363LA2200X | 0024174876 (VA) |
| Gerontology Nurse Practitioner | 363LG0600X | 0024174876 (VA) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1922537547
Lakeitha Lanay Berry, NP's National Provider Identifier is 1922537547, issued on Jun 7, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Antonio, TX. The record was last updated on Mar 9, 2026.