Individual provider · Type 1 NPI
Angela Theobald, APRN, AGPCNP-BC
Primary Care Nurse Practitioner · Dallas, TX
NPI number
1215822291
Active
Practice location
122 W Colorado Blvd
Dallas, TX 75208-2382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1194745 (TX) |
| Adult Health Nurse Practitioner | 363LA2200X | 1194745 (TX) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1194745 (TX) |
Primary Care Nurse Practitioner: Definition to come...
27 other providers at this address
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- Ernest Lewis Dunn, MDSurgery Physician Dallas, TX NPI 1215913629
- Farukh Gabriel Ikram, MDInternal Medicine Physician Dallas, TX NPI 1063949212
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- Keandre TaylorPhysician Assistant Dallas, TX NPI 1851115448
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- Kaleigh Pruett, APRN, FNP-CPrimary Care Nurse Practitioner Dallas, TX NPI 1104410703
- Blexy Jigi Abraham, APRNPrimary Care Nurse Practitioner Dallas, TX NPI 1124574157
About NPI 1215822291
Angela Theobald, APRN, AGPCNP-BC's National Provider Identifier is 1215822291, issued on Jun 11, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dallas, TX. The record was last updated on Oct 2, 2025.