=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922980721
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMABEL ANGWE NCHE FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2025
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7510 FM 1886
-----------------------------------------------------
City | AZLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76020-1054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-420-7678
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2301 HORSEBACK TRL
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76177-7577
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-548-0555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1149514
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------