Provider Demographics
NPI:1417162603
Name:MILTON, ANGELA RENE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:RENE
Last Name:MILTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 ASHBROOK RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2909
Mailing Address - Country:US
Mailing Address - Phone:214-381-4924
Mailing Address - Fax:
Practice Address - Street 1:4714 ASHBROOK RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2909
Practice Address - Country:US
Practice Address - Phone:214-381-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily