Individual
MARIE ROSE NATAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 MADISON OAK DR, SAN ANTONIO, TX 78258-4084
(210) 286-1827
Mailing address
502 MADISON OAK DR, SAN ANTONIO, TX 78258-4084
(210) 286-1827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1190784
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1190784
TX
Other
Enumeration date
02/12/2025
Last updated
05/01/2025
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