MEDICARE: CAROLE ANGARANO FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1077026	TX

General Provider Information

NPI Number	:	1093456501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLE ANGARANO FNP-BC

Provider Business Mailing Address
First Line	:	11605 LYLE LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-4010
Country	:	US
Telephone Number	:	915-502-3331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 N ZARAGOZA RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-1829
Country	:	US
Telephone Number	:	915-502-3331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	11/29/2022

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