Provider Demographics
NPI:1528898327
Name:DUNBAR, ANGELA LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:LYNN
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 COUNTY ROAD 655
Mailing Address - Street 2:
Mailing Address - City:BRAZORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77422-8628
Mailing Address - Country:US
Mailing Address - Phone:979-236-1969
Mailing Address - Fax:
Practice Address - Street 1:208 OAK DR S STE 500
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5789
Practice Address - Country:US
Practice Address - Phone:979-245-7246
Practice Address - Fax:979-245-2415
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169588363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner