Suzen Angle, RN
Individual provider Active NPI Registered Nurse First Assistant · San Angelo, TX
NPI 1487057097 · NPPES record last updated Sep 28, 2014
Key facts
- NPI
- 1487057097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- 249604 (TX)
- Practice address
- 303 W Harris Ave Ste 3
San Angelo, TX 76903-6377 - Phone
- (325) 942-9300
- Fax
- (325) 942-9333
- NPI assigned
- Sep 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249604 | TX | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 249604 | TX | Yes |
Addresses
Primary practice location
303 W Harris Ave Ste 3
San Angelo, TX 76903-6377
Mailing address
303 W Harris Ave Ste 3
San Angelo, TX 76903-6377
Phone (325) 942-9300
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All providers in San Angelo, TX · Registered Nurse First Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.