Ilene Nicole Pardo, FNP-C
Nurse Practitioner, Family in San Antonio, TX. Individual provider (NPI-1).
NPI number1467299727
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1467299727
- Entity type
- Individual (NPI-1)
- Name
- Ilene Nicole Pardo
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1170306 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Ilene Nicole Diaz (Former Name)
Practice location
9011 Poteet Jourdanton FwySan Antonio, TX 78224-2124
Phone 210-922-7000 · Fax 210-924-1374
Mailing address
3750 Commercial AveSan Antonio, TX 78221-3117
Phone 210-922-7000 · Fax 210-924-1374
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