Healthcare Provider Details

I. General information

NPI: 1992018980
Provider Name (Legal Business Name): ANGELA ARMENTA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 SOUTH 6TH AVE
TUCSON AZ
85713-4701
US

IV. Provider business mailing address

PO BOX 746093
ATLANTA GA
30374-6093
US

V. Phone/Fax

Practice location:
  • Phone: 520-475-5418
  • Fax: 520-300-8034
Mailing address:
  • Phone: 773-352-1517
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3740
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: