Provider Demographics
NPI:1669586400
Name:PEARCE, ANGELA N (FNP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:N
Last Name:PEARCE
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 1:5201 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7708
Mailing Address - Country:US
Mailing Address - Phone:214-590-2618
Mailing Address - Fax:214-590-0178
Practice Address - Street 1:5201 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7708
Practice Address - Country:US
Practice Address - Phone:214-590-2618
Practice Address - Fax:214-590-0178
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX447512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B6073OtherBLUE CROSS BLUE SHIELD
TX8B6073Medicare ID - Type Unspecified
TX8B6073OtherBLUE CROSS BLUE SHIELD