Provider Demographics
NPI:1952896995
Name:MUNIZ, ANGELA PAULETTE (MSN-FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:PAULETTE
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:PAULETTE
Other - Last Name:IBARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3113 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79103
Mailing Address - Country:US
Mailing Address - Phone:806-374-7341
Mailing Address - Fax:806-322-2485
Practice Address - Street 1:723 N TAYLOR ST STE B
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-5279
Practice Address - Country:US
Practice Address - Phone:806-345-7917
Practice Address - Fax:806-322-2485
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX803940363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP135467OtherTEXAS BOARD OF NURSING