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SAN ANTONIO, TX 782075209
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
| Taxonomy | Nurse Practitioner, Pediatrics |
| Taxonomy Code | 363LP0200X |
| License | AP138991 TX |
Mailing Address
701 S ZARZAMORA STSAN 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.