Individual
STORMY O VALDESPINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP
Contact information
Practice address
1200 BROOKLYN AVE STE 150, SAN ANTONIO, TX 78212-4815
(210) 560-5841
(201) 462-3853
Mailing address
1200 BROOKLYN AVE STE 150, SAN ANTONIO, TX 78212-4815
(210) 560-5841
(201) 462-3853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
659602
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8580MB
BCBS-TX
TX
Enumeration date
06/30/2008
Last updated
10/31/2024
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