Individual
NNENNA AWAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-4500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
758857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314092307
—
TX
Enumeration date
11/20/2012
Last updated
10/18/2020
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