Angelique Marie Cordova, FNP-BC
Nurse Practitioner, Family in Apex, NC. Individual provider (NPI-1).
NPI number1720450109
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1720450109
- Entity type
- Individual (NPI-1)
- Name
- Angelique Marie Cordova
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2015
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5008616 | NC | Yes |
| 363LF0000X | Nurse Practitioner, Family | 0024190649 | VA | |
| 363LF0000X | Nurse Practitioner, Family | C-APN.0102519-C-NP | CO | |
| 363LF0000X | Nurse Practitioner, Family | 11034013 | FL |
Practice location
1457 Kelly Rd # 1035Apex, NC 27502-9572
Phone 919-446-3642
Mailing address
1457 Kelly Rd # 1035Apex, NC 27502-9572
Phone 919-446-3642
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Family Nurse Practitioner providers in Apex · All 1,474 providers in Apex
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