Provider Demographics
NPI:1255157533
Name:LOUDER, ANGEL SHO'RIECE (MSN, RN)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:SHO'RIECE
Last Name:LOUDER
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:ANGLE
Other - Middle Name:
Other - Last Name:LOUDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:7400 MERTON MINTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-875-7567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752175163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical