Provider Demographics
NPI:1043784275
Name:ADKINS, ANGELA CAROL
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:CAROL
Last Name:ADKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16161 MOFFAT DR.
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:OK
Mailing Address - Zip Code:73051
Mailing Address - Country:US
Mailing Address - Phone:405-408-6150
Mailing Address - Fax:
Practice Address - Street 1:16161 MOFFAT DR.
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:OK
Practice Address - Zip Code:73051-2607
Practice Address - Country:US
Practice Address - Phone:405-527-4838
Practice Address - Fax:405-527-4871
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK91120163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse