Individual
MRS. ANGELEA N KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2352 BRUCE B DOWNS BLVD STE 102, WESLEY CHAPEL, FL 33544-9203
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007487
FL
363LF0000X
Family Nurse Practitioner
APRN11007487
FL
Other
Enumeration date
09/24/2020
Last updated
12/12/2020
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