Individual
MS. ANGEL LEN HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 MACON DR, TITUSVILLE, FL 32780-4919
(601) 819-0405
Mailing address
709 MACON DR, TITUSVILLE, FL 32780-4919
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
9575091
FL
163WW0000X
Wound Care Registered Nurse
Primary
9575091
FL
163WX1500X
Ostomy Care Registered Nurse
9575091
FL
Other
Enumeration date
02/09/2026
Last updated
02/23/2026
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