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Individual

SARAH ANN NISHIMUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
5460 BABCOCK RD # 120C, SAN ANTONIO, TX 78240-3901
(210) 753-0744
Mailing address
10231 BULL RUN ST, SAN ANTONIO, TX 78230-3229
(760) 650-6988

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1099693
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1099693
TEXAS BOARD OF NURSING
TX
Enumeration date
11/29/2022
Last updated
11/29/2022
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