Angel Crespo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11019706 Issued in FL

Practice address

612 S Corona St # 612
Clewiston, FL 33440-4404

Phone

(863) 677-7571

NPI assigned

Aug 24, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1053030882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S CORONA ST # 612",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334404404",
            "telephone_number": "863-677-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S CORONA ST # 612",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334404404",
            "telephone_number": "863-677-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "ANGEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clewiston SNF Operations LLC (Clewiston Center for Rehabilitation and Healing)
• Lisandra Concepcion Aponte
• Susan Conley, FNP
• Cook Chiropractic Clinic
• Tamika Alishia Cooke, AGPCNP-C
• Roxana Crespo
• Edward Anthony Cronauer IV, DMD, MDS
• Veronica Cruz Simon
• Yaritza Naire Cuevas Torres, SLPA
• Daniel Foot & Ankle, P.a.

• Family Nurse Practitioner in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.