Angel Len Herndon
Registered Nurse, Wound Care in Titusville, FL. Individual provider (NPI-1).
NPI number1023969680
StatusActive
Last updated in NPPESFeb 23, 2026
Details
- NPI
- 1023969680
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angel Len Herndon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2026
- Certification date
- Feb 23, 2026
- Last updated
- Feb 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WW0000X | Registered Nurse, Wound Care | 9575091 | FL | Yes |
| 163WC2100X | Registered Nurse, Continence Care | 9575091 | FL | |
| 163WX1500X | Registered Nurse, Ostomy Care | 9575091 | FL |
Practice location
709 Macon DrTitusville, FL 32780-4919
Phone 601-819-0405
Mailing address
709 Macon DrTitusville, FL 32780-4919
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