Provider Demographics
NPI:1134837032
Name:LINCOLN, ANGELA DENISE (CNP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DENISE
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 VISION PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3029
Mailing Address - Country:US
Mailing Address - Phone:936-447-9452
Mailing Address - Fax:
Practice Address - Street 1:134 VISION PARK BLVD STE 310
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3032
Practice Address - Country:US
Practice Address - Phone:936-447-9452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2025-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111845363LF0000X
NM72963363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily