Provider Demographics
NPI:1730377029
Name:ABIODUN, ANGELA CHIDINMA (RN)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CHIDINMA
Last Name:ABIODUN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 CANTURA DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4649
Mailing Address - Country:US
Mailing Address - Phone:972-222-0979
Mailing Address - Fax:972-222-1753
Practice Address - Street 1:2020 CANTURA DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4649
Practice Address - Country:US
Practice Address - Phone:972-222-0979
Practice Address - Fax:972-222-1753
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726049163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator