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Individual

ANGELIQUE MARIE CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1457 KELLY RD # 1035, APEX, NC 27502-9572
(919) 446-3642
Mailing address
1457 KELLY RD # 1035, APEX, NC 27502-9572
(919) 446-3642

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024190649
VA
363LF0000X
Family Nurse Practitioner
11034013
FL
363LF0000X
Family Nurse Practitioner
Primary
5008616
NC
363LF0000X
Family Nurse Practitioner
C-APN.0102519-C-NP
CO

Other

Enumeration date
10/26/2015
Last updated
04/29/2026
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