Provider Demographics
NPI:1467419119
Name:SIERRA-PEREZ, ALBA GRACIELA (DNP, APRN, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ALBA
Middle Name:GRACIELA
Last Name:SIERRA-PEREZ
Suffix:
Gender:F
Credentials:DNP, APRN, WHNP-BC
Other - Prefix:
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Mailing Address - Street 1:1355 CENTRAL PKWY S
Mailing Address - Street 2:STE 400
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5057
Mailing Address - Country:US
Mailing Address - Phone:210-349-9300
Mailing Address - Fax:210-366-2558
Practice Address - Street 1:1303 MCCULLOUGH AVE
Practice Address - Street 2:STE GL70
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5631
Practice Address - Country:US
Practice Address - Phone:210-226-9705
Practice Address - Fax:210-223-4555
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2017-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS45843363LW0102X
TX774056363LW0102X
MO151817363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220638501Medicaid
MO421611005Medicaid
TX220638501Medicaid
MO263E852AMedicare UPIN