Provider Demographics
NPI:1013540236
Name:STEPANENKO, ALLISON RENAE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENAE
Last Name:STEPANENKO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W ASHBY PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5838
Mailing Address - Country:US
Mailing Address - Phone:210-468-1891
Mailing Address - Fax:
Practice Address - Street 1:120 W ASHBY PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5838
Practice Address - Country:US
Practice Address - Phone:210-468-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143598363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily