Provider Demographics
NPI:1043827256
Name:NOMBRANO, LORRAINE (FNP)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:NOMBRANO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8042 WURZBACH RD STE 280
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3863
Mailing Address - Country:US
Mailing Address - Phone:210-614-8100
Mailing Address - Fax:
Practice Address - Street 1:8042 WURZBACH RD STE 280
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3863
Practice Address - Country:US
Practice Address - Phone:210-614-8100
Practice Address - Fax:210-615-7233
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily