Individual provider · NPI-1

Grace Glenda Balderas, A.P.R.N. B.C.

Nurse Practitioner · San Antonio, TX

NPI number1134109366
StatusActive
Last updated in NPPESJan 28, 2022

Details

NPI
1134109366
Entity type
Individual (NPI-1)
Name
Grace Glenda Balderas
Credential
A.P.R.N. B.C.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2006
Last updated
Jan 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAP114274TXYes
364S00000X Clinical Nurse SpecialistAP114274TX

Practice location

6800 W Ih 10
Suite 350
San Antonio, TX 78201-2038

Phone 210-692-1414 · Fax 210-546-0358

Mailing address

6800 W Ih 10
Suite 350
San Antonio, TX 78201-2038

Phone 210-692-1414 · Fax 210-546-0358

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