Provider Demographics
NPI:1477126704
Name:LAMPLEY, ANGELA (CNM/WHNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:LAMPLEY
Suffix:
Gender:F
Credentials:CNM/WHNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:FIDDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1413 BLAZING STAR TRL
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-2595
Mailing Address - Country:US
Mailing Address - Phone:817-913-0009
Mailing Address - Fax:
Practice Address - Street 1:622 HEMPHILL ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3179
Practice Address - Country:US
Practice Address - Phone:817-878-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032520363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health