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Individual

MRS. DEIDRE ANN ROSE-ALDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
7979 BROADWAY STE 100, SAN ANTONIO, TX 78209-2657
(210) 985-8078
Mailing address
7979 BROADWAY STE 100, SAN ANTONIO, TX 78209-2657

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
890932
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1100759
TX

Other

Enumeration date
11/21/2022
Last updated
01/04/2023
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