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Individual

MRS. ANGELA MOORE WHITLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, MSN, FNP

Contact information

Practice address
4518 TED TROUT DR STE A, LUFKIN, TX 75904-6642
(936) 674-5277
Mailing address
4518 TED TROUT DR STE A, LUFKIN, TX 75904-6642
(936) 674-5277

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141582
TX

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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