Individual
NATALIE DIANE ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 325-9723
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1014038
TX
Other
Enumeration date
05/05/2021
Last updated
04/16/2024
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