Individual
COURTNEY IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, APRN
Contact information
Practice address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
Mailing address
6740 WAYMAN RDG, LIVE OAK, TX 78233-5469
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144066
TX
Other
Enumeration date
04/09/2020
Last updated
06/09/2023
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