Provider Demographics
NPI:1487493870
Name:FAUBION, ANGELA SUE (MSN, APRN, FNP- BC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:SUE
Last Name:FAUBION
Suffix:
Gender:F
Credentials:MSN, APRN, FNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 MCNIEL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1505
Mailing Address - Country:US
Mailing Address - Phone:940-631-3697
Mailing Address - Fax:
Practice Address - Street 1:3506 MCNIEL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1505
Practice Address - Country:US
Practice Address - Phone:940-631-3697
Practice Address - Fax:940-692-6971
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1163667363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily