Provider Demographics
NPI:1215352984
Name:VAN ATTEN, ANGELICA (PA-C)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:VAN ATTEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 S EXPRESSWAY 77
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3214
Mailing Address - Country:US
Mailing Address - Phone:956-428-7500
Mailing Address - Fax:
Practice Address - Street 1:5505 S EXPRESSWAY 77
Practice Address - Street 2:SUITE 304
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3214
Practice Address - Country:US
Practice Address - Phone:956-428-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical