Provider Demographics
NPI:1497074207
Name:GOODEN, ANGELA WEST (RN, CPNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:WEST
Last Name:GOODEN
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:SHEREE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6621 FANNIN ST
Mailing Address - Street 2:CARDIOLOGY, 19-345C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-826-1937
Mailing Address - Fax:832-825-1107
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:CARDIOLOGY, 19-345C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-826-1937
Practice Address - Fax:832-825-1107
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX662468163WP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics