Provider Demographics
NPI:1689164733
Name:TALAMANTEZ-WORDEN, GENEVIEVE ANN (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:ANN
Last Name:TALAMANTEZ-WORDEN
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:ANN
Other - Last Name:TALAMANTEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 N SAN SABA STE 960
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3100
Mailing Address - Country:US
Mailing Address - Phone:210-704-2707
Mailing Address - Fax:210-472-0255
Practice Address - Street 1:315 N SAN SABA STE 960
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3100
Practice Address - Country:US
Practice Address - Phone:210-704-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136995363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily