# ANGELES KHRYSTAL PADRON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669213997
- **Gender:** F
- **Credential:** ACNPC-AG

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1147107 | TX | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 1147107 | TX | — |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 03/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1147107 | NURSES LICENSE | TX |