Provider Demographics
NPI:1457582736
Name:ESCALANTE, ANGELA AMERICA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:AMERICA
Last Name:ESCALANTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-0923
Mailing Address - Country:US
Mailing Address - Phone:806-795-6421
Mailing Address - Fax:806-795-1528
Practice Address - Street 1:8214 MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-0923
Practice Address - Country:US
Practice Address - Phone:806-795-6421
Practice Address - Fax:806-795-1528
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX600857363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2397987OtherDEA