Provider Demographics
NPI:1194542787
Name:VALLENDER, RUTH ANN LOUISE (AGACNP)
Entity type:Individual
Prefix:
First Name:RUTH ANN
Middle Name:LOUISE
Last Name:VALLENDER
Suffix:
Gender:
Credentials:AGACNP
Other - Prefix:
Other - First Name:RUTH-ANN
Other - Middle Name:LOUISE
Other - Last Name:SCANLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5206 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-5251
Mailing Address - Country:US
Mailing Address - Phone:210-595-5300
Mailing Address - Fax:
Practice Address - Street 1:5206 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-5251
Practice Address - Country:US
Practice Address - Phone:210-595-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1142629363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care