Individual
STEPHANNIE LOU LEGARRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
13840 VILLA VISTA AVE, HORIZON CITY, TX 79928-2321
(915) 252-8199
Mailing address
13840 VILLA VISTA AVE, HORIZON CITY, TX 79928-2321
(915) 252-8199
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1074209
TX
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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