Leslie Yvette Ontiveros, AG-ACNP
Nurse Practitioner in San Antonio, TX. Individual provider (NPI-1).
NPI number1164075263
StatusActive
Last updated in NPPESAug 9, 2021
Details
- NPI
- 1164075263
- Entity type
- Individual (NPI-1)
- Name
- Leslie Yvette Ontiveros
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2019
- Certification date
- Aug 9, 2021
- Last updated
- Aug 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP139572 | TX | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | AP139572 | TX |
Practice location
7700 Floyd Curl DrSan Antonio, TX 78229-3902
Phone 210-575-4000
Mailing address
19327 Talavera Rdg Apt 4407San Antonio, TX 78257-2647
Phone 210-551-1912
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