Individual
LYZETE AKWI TALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
5515 E. EVANS ROAD, SUITE 201, SAN ANTONIO, TX 78261
(210) 290-9740
(210) 291-9741
Mailing address
5515 E EVANS RD STE 201, SAN ANTONIO, TX 78261-2025
(210) 290-9740
(210) 291-9741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
782593
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP137487
TX
Other
Enumeration date
08/26/2009
Last updated
05/31/2024
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