Individual
ANGELA D WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4235 SOUTHWEST BLVD, SAN ANGELO, TX 76904-5635
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
645262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188043702
—
TX
01
—
645262
LICENSE
TX
Enumeration date
11/02/2007
Last updated
10/22/2013
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