Individual
REBECCA ANN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3049
(210) 704-0054
Mailing address
315 N SAN SABA, SAN ANTONIO, TX 78207-3154
(210) 704-3049
(210) 704-0054
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
665931
TX
363LP0200X
Pediatric Nurse Practitioner
AP124131
TX
Other
Enumeration date
07/30/2013
Last updated
03/04/2015
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