MEDICARE: MRS. VANESSA MORA PNP

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
1	363LP0200X	Pediatric Nurse Practitioner	666298	TX

General Provider Information

NPI Number	:	1699841676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANESSA MORA PNP

Provider Business Mailing Address
First Line	:	1234 JUNEAU AVE UNIT B
Second Line	:
City	:	JBER
State	:	AK
Zip	:	99505
Country	:	US
Telephone Number	:	210-387-7682
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 BERGQUIST DR STE 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-9908
Country	:	US
Telephone Number	:	210-387-7682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	09/12/2014

Similar Medicare Providers

1396891511 — DR. SHAWN MARIE GARCIA M.D.
Practice Location Address:

1100 WILFORD HALL LOOP, BLDG 4554 , ATTN: 59 MDW/SGHC
SAN ANTONIO, TX
78236-9908

Practice Phone: 210-292-6225
Practice Fax:

1174783997 — TRACY ESTELLE AUSTIN
Practice Location Address:

2200 BERQUIST DRIVE , WHMC/GE LACKLAND AFB SUITE 1
SAN ANTONIO, TX
78236-9908

Practice Phone: 210-292-5941
Practice Fax:

1083917488 — MS. CHRISTINA ANN-COLBY WEATHERS M.A.
Practice Location Address:

2200 BERGQUIST DRIVE, SUITE 1 , 59 MHS/SGOWV2
SAN ANTONIO, TX
78236-9908

Practice Phone: 210-292-5972
Practice Fax:

1760725840 — RYAN ERICH DUMKE M.S.
Practice Location Address:

2200 BERQUIST DR. STE 1 , LACKLAND AFB
SAN ANTONIO, TX
78236-9908

Practice Phone: 310-941-9275
Practice Fax:

1225424948 — ANDREA WEISS
Practice Location Address:

2200 BERQUIST DRIVE , STE 1 LACKLAND AFB
SAN ANTONIO, TX
78236-9908

Practice Phone: 508-561-8326
Practice Fax:

1275102725 — AUBREY MONTEBELLO MD
Practice Location Address:

1100 WILFORD HALL LOOP
SAN ANTONIO, TX
78236-5638

Practice Phone: 210-292-4277
Practice Fax:

Directions to “ MRS. VANESSA MORA PNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.