Provider Demographics
NPI:1629195060
Name:WILKINS, ANGELA ESTELLA (FNP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:ESTELLA
Last Name:WILKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 MINNESOTA AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2661
Mailing Address - Country:US
Mailing Address - Phone:202-398-7322
Mailing Address - Fax:202-548-6534
Practice Address - Street 1:3924 MINNESOTA AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2661
Practice Address - Country:US
Practice Address - Phone:202-398-7322
Practice Address - Fax:202-548-6534
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1008921363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily