Individual
MRS. NICOLE RENEE ESPURVOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4751 HAMILTON WOLFE RD STE 200, SAN ANTONIO, TX 78229-3458
(210) 233-7126
Mailing address
21303 ENCINO CMNS APT 1305, SAN ANTONIO, TX 78259-2230
(210) 519-1997
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
840114
TX
363L00000X
Nurse Practitioner
Primary
1028632
TX
Other
Enumeration date
11/28/2020
Last updated
09/25/2024
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