Provider Demographics
NPI:1053328310
Name:WOOSLEY, MARIA (MSN, PNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:WOOSLEY
Suffix:
Gender:F
Credentials:MSN, PNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:VALLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, PNP
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7977
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-4000
Mailing Address - Fax:210-450-4903
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-1575
Practice Address - Fax:210-358-4775
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657582363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169850807Medicaid
TX169850808OtherCSHCN
TX169850808OtherCSHCN