Provider Demographics
NPI:1861610032
Name:MCAFEE, ANGELA M (CRNA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:18710 GRAND HARBOR PT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-4951
Mailing Address - Country:US
Mailing Address - Phone:402-680-1710
Mailing Address - Fax:
Practice Address - Street 1:18710 GRAND HARBOR PT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-4951
Practice Address - Country:US
Practice Address - Phone:402-680-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1310163W00000X
HI68644163W00000X
TXAP128042367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001244070OtherVIRGINIA BOARD OF NURSING
HI68644OtherRN
HI1310OtherAPRN
MDR208529OtherMARYLAND BOARD OF NURSING
VA0024170854OtherVIRGINIA BOARD OF NURSING
TXAP128042OtherNURSE ANESTHETIST/APRN
TX628615OtherTEXAS RN
TX18627OtherPRESCRIPTIVE AUTHORITY TEXAS