Provider Demographics
NPI:1376139568
Name:LONSDALE, ELLEN LIMA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:LIMA
Last Name:LONSDALE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:4511 HORIZON HILL BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2449
Mailing Address - Country:US
Mailing Address - Phone:210-477-2626
Mailing Address - Fax:210-477-2650
Practice Address - Street 1:4511 HORIZON HILL BLVD STE 150
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2449
Practice Address - Country:US
Practice Address - Phone:210-477-2626
Practice Address - Fax:210-477-2650
Is Sole Proprietor?:No
Enumeration Date:2020-12-12
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020290363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily