Provider Demographics
NPI:1437794195
Name:NGO, ANGELA VANANH (FNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:VANANH
Last Name:NGO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ANH
Other - Middle Name:
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5294 BELT LINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7571
Mailing Address - Country:US
Mailing Address - Phone:682-307-3197
Mailing Address - Fax:
Practice Address - Street 1:5294 BELT LINE RD STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7571
Practice Address - Country:US
Practice Address - Phone:214-785-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV825598363LP2300X
TXAP146141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care