Provider Demographics
NPI:1194465427
Name:ANGARITA-TRIANA, YURLEY (FNP)
Entity Type:Individual
Prefix:
First Name:YURLEY
Middle Name:
Last Name:ANGARITA-TRIANA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MARTINDALE FALLS RD
Mailing Address - Street 2:
Mailing Address - City:MARTINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:78655-2554
Mailing Address - Country:US
Mailing Address - Phone:512-665-3110
Mailing Address - Fax:
Practice Address - Street 1:900 MARTINDALE FALLS RD
Practice Address - Street 2:
Practice Address - City:MARTINDALE
Practice Address - State:TX
Practice Address - Zip Code:78655-2554
Practice Address - Country:US
Practice Address - Phone:512-665-3110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX789548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily