Wilke, Angela D

Wilke, Angela D is an individual health care provider with primary practice located at 4235 Southwest Blvd , San Angelo TX 76904-5635. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilke, Angela D can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
4235 Southwest Blvd San Angelo TX 76904-5635
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 645262 Texas

Profile Details

NPI number 1669651964
LBN Legal business name Wilke, Angela D
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Oct 22nd, 2013 - about 11 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 1669651964 NPPES
Texas Other 645262 LICENSE
Texas MEDICAID 188043702 LICENSE

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