NPI 1053980565

Tracie Diane Leveridge

Practitioner Advanced Practice Midwife San Antonio, TX

Practice location

Address: 5616 Lone Star Pkwy, San Antonio, TX 78253-2200
Phone: (210) 281-5066
Mailing address: 1 Saint Robby CT, Mansfield, TX 76063-7637

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 1030791 (TX)

Other Advanced Practice Midwife providers in Texas →

Registry record

NPI: 1053980565
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2021
Record last updated: 19 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.