Addie Ayres

Individual provider Active NPI Licensed Vocational Nurse · Angleton, TX

NPI 1538729751 · NPPES record last updated Jun 19, 2019

Key facts

NPI
1538729751
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
130022 (TX)
Practice address
501 Catalpa St
Angleton, TX 77515-4801
Phone
(979) 997-2658
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
130022TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 130022 TX Yes

Addresses

Primary practice location

501 Catalpa St
Angleton, TX 77515-4801

Mailing address

501 Catalpa St
Angleton, TX 77515-4801
Phone (979) 997-2658

Other providers in Angleton, TX

All providers in Angleton, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.