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NPI Code Detail

MEDICARE: ERIN RIFENBURGH APRN, RN

MEDICARE: ERIN RIFENBURGH APRN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1012663TX
2363L00000XNurse Practitioner1012663TX

General Provider Information

NPI Number : 1922454651
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN RIFENBURGH APRN, RN
Provider Business Mailing Address
First Line : 900 NE LOOP 410 STE D200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-1407
Country : US
Telephone Number : 210-822-2600
Fax Number :
Provider Business Practice Location Address
First Line : 900 NE LOOP 410 STE D200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-1407
Country : US
Telephone Number : 210-822-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 12/04/2025

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