IndividualActive
Phyllis Ellena, ADVANCED PRACTICE RN
NPI 1740450642 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · San Antonio, TX
Provider details
- NPI number
- 1740450642
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ADVANCED PRACTICE RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 439625 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4026 Parkway Dr
San Antonio, TX 78228-2311
Phone: (210) 219-5135
Fax: (210) 434-7039
Approximate (ZIP-level) locationGet directions
Mailing address
4026 Parkway Dr
San Antonio, TX 78228-2311
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2008-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.