Provider Demographics
NPI:1952584583
Name:TROTTER, ANGELA RHAE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RHAE
Last Name:TROTTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:RHAE
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:701 MCCLINTIC DR
Mailing Address - Street 2:
Mailing Address - City:GROESBECK
Mailing Address - State:TX
Mailing Address - Zip Code:76642-2128
Mailing Address - Country:US
Mailing Address - Phone:254-729-3281
Mailing Address - Fax:254-729-3080
Practice Address - Street 1:204 W TRINITY ST
Practice Address - Street 2:
Practice Address - City:GROESBECK
Practice Address - State:TX
Practice Address - Zip Code:76642-1324
Practice Address - Country:US
Practice Address - Phone:254-729-4330
Practice Address - Fax:254-729-4331
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX584842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215689501Medicaid
TXAP116419OtherTEXAS BOARD OF NURSING