Individual
ANGELA K CASE-SUTPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-1475
(682) 885-7520
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP111076
TX
363LP0200X
Pediatric Nurse Practitioner
653122
TX
363LP0200X
Pediatric Nurse Practitioner
AP111076
TX
Other
Enumeration date
06/18/2007
Last updated
06/13/2024
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