Mcinnis, Mary Angela

Mcinnis, Mary Angela is an individual health care provider with primary practice located at 1303 Elk River Rd , Tyler TX 75703-7456. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcinnis, Mary Angela can be contacted via phone (713) 397-9773.

Contact Information

Primary practice address
1303 Elk River Rd Tyler TX 75703-7456
Phone: (713) 397-9773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 671796 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 671796 Texas

Profile Details

NPI number 1134399751
LBN Legal business name Mcinnis, Mary Angela
Credentials DNP, APRN, ENP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Apr 17th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134399751 NPPES
Texas Other 671796 LICENSE

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