Individual provider · NPI-1

Cora Yvette Addison, MSN, APRN, CPNP-PC

Nurse Practitioner, Pediatrics · San Antonio, TX

NPI number1891263158
StatusActive
Last updated in NPPESMar 18, 2019

Details

NPI
1891263158
Entity type
Individual (NPI-1)
Name
Mrs. Cora Yvette Addison
Credential
MSN, APRN, CPNP-PC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 5, 2018
Last updated
Mar 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP138991TXYes

Practice location

701 S Zarzamora St
San Antonio, TX 78207

Phone 210-358-7551

Mailing address

701 S Zarzamora St
San Antonio, TX 78207-5209

Phone 210-358-7551

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