Individual
ANGELA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
1104 JEFFERSON AVE, SEGUIN, TX 78155-5910
(830) 379-9797
Mailing address
2915 JAKES COLONY RD, SEGUIN, TX 78155-9617
(512) 902-5780
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
547564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326872401
—
TX
Enumeration date
12/05/2012
Last updated
05/05/2025
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