Individual
CORA COMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4450 SUNSET DR, SAN ANGELO, TX 76901-5611
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
787922
TX
363LF0000X
Family Nurse Practitioner
AP124575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330781101
—
TX
01
—
334746YKRY
PTAN
TX
01
—
8017NH
BCBS
TX
Enumeration date
01/30/2014
Last updated
02/12/2018
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