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NPI 1528309739

NPI 1528309739 : ANGELA MICHELLE PENA APRN, FNP-BC : ROUND ROCK, TX

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General NPI Number Information
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    NPI Number           |    1528309739
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA MICHELLE PENA APRN, FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/13/2013
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    501 UNIVERSITY BLVD 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78665-1048
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    Country              |    US
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    Telephone            |    866-389-2727
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    Fax                  |    512-310-8408
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Provider Business Mailing Address
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    Address Line         |    501 UNIVERSITY BLVD 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78665-1048
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    Country              |    US
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    Telephone            |    866-389-2727
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    Fax                  |    512-310-8408
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    710258
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP122809
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    CNP191264
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    License Number State |    ME
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