Provider Demographics
NPI:1588347165
Name:GUERRERO, ANGIE MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:MARIE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:M
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3801 CASTLE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-3609
Mailing Address - Country:US
Mailing Address - Phone:361-946-7607
Mailing Address - Fax:
Practice Address - Street 1:5621 CORSICA RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-6374
Practice Address - Country:US
Practice Address - Phone:361-452-4838
Practice Address - Fax:361-387-4871
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX760424273207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine