Individual
CANDACE C BURRELL-MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
9811 HUEBNER RD BLDG 2, SAN ANTONIO, TX 78240-3255
(210) 533-0257
(210) 534-0890
Mailing address
3110 NOGALITOS STE 105, SAN ANTONIO, TX 78225-2337
(210) 533-0257
(210) 531-9488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP135543
TEXAS BOARD OF NURSING
TX
Enumeration date
11/02/2017
Last updated
04/14/2023
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