Individual
VANESSA MERCEDES VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
1831 S GENERAL MCMULLEN DR, SAN ANTONIO, TX 78226-1190
(210) 644-8500
Mailing address
12610 EMMETT GRV, SAN ANTONIO, TX 78254-6099
(210) 324-0204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1107552
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1107552
TX
Other
Enumeration date
01/17/2023
Last updated
01/25/2024
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