Individual
NINA NICOLE TOTANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(210) 640-5235
Mailing address
708 CLEARBROOK AVE, SCHERTZ, TX 78108-3436
(210) 464-5105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1019522
TX
363LA2100X
Acute Care Nurse Practitioner
1019522
TX
363LA2100X
Acute Care Nurse Practitioner
869298
TX
Other
Enumeration date
11/06/2020
Last updated
01/04/2022
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