Individual
MS. ANGELIQUE ABIGAIL GERONIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
1411 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-2778
(512) 341-0900
(512) 341-2895
Mailing address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
971142
TX
363L00000X
Nurse Practitioner
Primary
1113186
TX
363LF0000X
Family Nurse Practitioner
1113186
TX
Other
Enumeration date
03/17/2023
Last updated
08/23/2024
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