Pieter Alexander Maria Vernon, FNP-BC, APRN
Nurse Practitioner, Family in San Antonio, TX. Individual provider (NPI-1).
NPI number1730891797
StatusActive
Last updated in NPPESDec 21, 2022
Details
- NPI
- 1730891797
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pieter Alexander Maria Vernon
- Credential
- FNP-BC, APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2022
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 33043 | TN | Yes |
Practice location
3551 Roger Brooke DrSan Antonio, TX 78234-4504
Phone 210-916-6545
Mailing address
3551 Roger Brooke DrSan Antonio, TX 78234-4504
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