Provider Demographics
NPI:1770266017
Name:ANGLADE, ARNAULD (FNP-C)
Entity type:Individual
Prefix:
First Name:ARNAULD
Middle Name:
Last Name:ANGLADE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 BRODIE LANE
Mailing Address - Street 2:SUITE 160 PMB559
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748
Mailing Address - Country:US
Mailing Address - Phone:347-422-7035
Mailing Address - Fax:
Practice Address - Street 1:630 W STATE HIGHWAY 71 STE E
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-4283
Practice Address - Country:US
Practice Address - Phone:512-304-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily