Individual
LESLIE YVETTE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 575-4000
Mailing address
19327 TALAVERA RDG APT 4407, SAN ANTONIO, TX 78257-2647
(210) 551-1912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139572
TX
363LA2100X
Acute Care Nurse Practitioner
AP139572
TX
Other
Enumeration date
07/18/2019
Last updated
08/09/2021
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