Individual provider · Type 1 NPI

Angela Kim So, CPNP

Pediatric Nurse Practitioner · Lewisville, TX

NPI number 1811303191 Active

Practice location

502 S Old Orchard Ln Ste 126
Lewisville, TX 75067-4374

Other practice locations

  • 408 S Beach Blvd Ste 111, Anaheim, CA 92804-1866 · (714) 826-8800

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2267193 (NY)
Registered Nurse 163W00000X95062551 (CA)
Pediatric Nurse Practitioner 363LP0200X95002627 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X1116695 (TX)

Pediatric Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1811303191

Angela Kim So, CPNP's National Provider Identifier is 1811303191, issued on Jul 7, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lewisville, TX. The record was last updated on Dec 27, 2024.