IRENE L. CORONADO R.N. F.N.P MSN NPI 1477622900

NPI Information

NPI: 1477622900
Provider Name: IRENE L. CORONADO, R.N., F.N.P, MSN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4680 LOCKHILL SELMA RD STE 200
SAN ANTONIO, TX
ZIP 78249
Phone: (210) 805-9800
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Irene L. Coronado, R.N., F.N.P, MSN is a family nurse practitioner in San Antonio, TX with 18 years of experience. Irene L. Coronado, R.N., F.N.P, MSN NPI is 1477622900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2006

The provider's business location address is:

4680 LOCKHILL SELMA RD STE 200
SAN ANTONIO, TX
ZIP 78249-094
Phone: (210) 805-9800

The NPI 1477622900 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	567495	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP114989	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2830549-02	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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