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Individual Provider

CORA ADDISON, MSN, APRN, CPNP-PC

NPI 1891263158 Active Nurse Practitioner, Pediatrics
Quick Facts
NPI Number
1891263158
Type
Individual (NPI-1)
Credential
MSN, APRN, CPNP-PC
Status
Active
Enumeration Date
2018-11-05
Last Updated (NPPES)
2019-03-18

Primary Specialty / Taxonomy

TaxonomyNurse Practitioner, Pediatrics
Taxonomy Code363LP0200X
LicenseAP138991 TX

Practice Address

701 S ZARZAMORA ST
SAN ANTONIO, TX 78207

Phone: 210-358-7551

Mailing Address

701 S ZARZAMORA ST
SAN ANTONIO, TX 782075209

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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