Individual
ABIGAIL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-0019
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-0019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1117012
TX
363LF0000X
Family Nurse Practitioner
1117012
TX
Other
Enumeration date
04/18/2023
Last updated
10/03/2024
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