Geronimo, Angelique Abigail

Geronimo, Angelique Abigail is an individual health care provider with primary practice located at 901 W Ben White Blvd , Austin TX 78704-6903. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Geronimo, Angelique Abigail can be contacted via phone (512) 447-2211.

Contact Information

Primary practice address
901 W Ben White Blvd Austin TX 78704-6903
Phone: (512) 447-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 971142 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1113186 Texas

Profile Details

NPI number 1316648132
LBN Legal business name Geronimo, Angelique Abigail
Credentials FNP-BC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2023
Last updated Mar 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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