Provider Demographics
NPI:1497203350
Name:LENTNER, ANGELICA (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:LENTNER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 N SILVERBELL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2686
Mailing Address - Country:US
Mailing Address - Phone:520-872-7238
Mailing Address - Fax:520-872-7638
Practice Address - Street 1:445 N SILVERBELL RD STE 202
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2686
Practice Address - Country:US
Practice Address - Phone:520-872-7238
Practice Address - Fax:520-872-7638
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8966363LA2100X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care