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NPI Code Detail

MEDICARE: MRS. ANGELA LAMPLEY CNM/WHNP

MEDICARE: MRS. ANGELA LAMPLEY CNM/WHNP
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
1363LW0102XWomen's Health Nurse Practitioner1032520TX
2367A00000XAdvanced Practice Midwife1032520TX

General Provider Information

NPI Number : 1477126704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA LAMPLEY CNM/WHNP
Provider Business Mailing Address
First Line : 1413 BLAZING STAR TRL
Second Line :
City : BURLESON
State : TX
Zip : 76028-2595
Country : US
Telephone Number : 817-913-0009
Fax Number :
Provider Business Practice Location Address
First Line : 622 HEMPHILL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3179
Country : US
Telephone Number : 817-878-2737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2021
Last Update Date : 07/23/2021

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